Background: Our standard Hypoglycemia Protocol primarily utilizes juice to treat hypoglycemia. The system currently allows both the Hypoglycemia Protocol and a renal diet to be active simultaneously. This algorithm has no restrictions on administering orange juice to treat hypoglycemia for patients despite exclusion of orange juice for patients on a renal diet. Considering anecdotal instances [...]

Case Presentation: A 72 year old male with a history of end stage renal disease and chronic positive hepatitis B core antibody since 2020 presented with worsening abdominal pain while undergoing hemodialysis. He was not on any immunosuppressive medications at home. On admission, his vitals were normal. Physical exam revealed scleral icterus and right upper [...]