Question: A 44-year-old woman with a new diagnosis of cirrhosis likely as a result of alcohol abuse was admitted to the intensive care unit (ICU) with pneumonia and was intubated. That day she developed diarrhea as a result of Clostridium difficile infection, which was managed with the help of a rectal trumpet. Her ICU stay was complicated by septic shock, acute respiratory distress syndrome, acute kidney injury, and worsening hepatitis.