Chief Complaint: 34 year old Hispanic man presents to ER complaining of severe weakness with inability to arise from bed. Patient had 1 prior episode after eating 2 weeks ago. He notes palpitations, diaphoresis, and tremulousness and a 10 lb wt loss over last month.

• Chief Complaint: 34 year old Hispanic man presents to ER complaining of severe weakness with inability to arise from bed. Patient had 1 prior episode after eating 2 weeks ago. He notes palpitations, diaphoresis, and tremulousness and a 10 lb wt loss over last month.

• PMH: None

• Meds: None

• ROS: no vomiting or diarrhea

• Habits: No alcohol, tobacco, or recreational drugs

• Family History: SLE, RA