A 51 year old man is brought to your ED by his family. He has been slightly confused and also had diarrhoea and vomiting for the last three days.

The patient drinks about 3 litres of vodka per day. He has recently been started on Desvenlafaxine for depression.

He also has some visual hallucinations

On examination he looks jaundiced.

Vitals:

BP   90/60

PR  120/min Continue reading →