This _ patient presents with tremulousness, vomiting, and recent ETOH abuse suspicious for withdrawal. DDx includes intoxication, other toxidromes or withdrawal states, infection, metabolic derangements. Nontoxic appearing_. Considered other causes of patient’s vital sign abnormalities including primary cardiopulmonary etiologies such as ACS, PE, PNA but think these are unlikely. Doubt acute intraabdominal process.

Plan: BZDs, fluid resuscitation, labs, monitoring, _