A 66-year-old female with a history of hypertension, fatty liver, and prediabetes presented to the emergency department for evaluation of dyspnea, abdominal pain, and generalized weakness. She reported several episodes of diarrhea and emesis over the last few months, which had increased in frequency over the previous 3 days, accompanied by worsening abdominal pain and distension. The patient also reported a 3-week history of polyuria and polydipsia and had been drinking large volumes of fruit juice, soda, and water in response to her excessive thirst.