This article considers the case of a 54-year-old male with a history of coronary artery disease, diabetes mellitus and tobacco abuse who presented with right upper quadrant abdominal pain, decreased appetite and jaundice. After admission, the patient's clinical status declined rapidly, with the development of confusion, respiratory failure, hypotension, renal failure and worsening lactic acidosis. The patient developed asystole and was pronounced dead on hospital day 4.
- Jeffrey Gilbert
- Heather Rutledge
- Alvaro Koch
