F2 and Hyperammonemia: Initial blood work showed glucose of 420 mg/dL, high levels of alcohol (222.7 mg/dL), metabolic acidosis, elevated ketones (5.4 mmol/L), pancytopenia (WBC: 1.03 × 103/uL, Hemoglobin: 9.9 g/dL, Platelet count: 32 × 103/uL) prolonged prothrombin time (19.8 s) and activated partial prothrombin time (> 180 s), hyperammonemia (876 ug/dL), elevated lactate (19.9 mmol/L), elevated liver enzymes (AST 3112 U/L, ALT 328 U/L, Gamma-glutamyl-transferase 1100 U/L), elevated creatinine (2.8 mg/dL) and Blood urea nitrogen (22.0 mg/dL).