35y/o, female, (+) goiter gradual enlarging anterior neck mass

tremors
undocumented fever
weight loss
palpitations
 frequency of bowel movement
Hyperthyroidism (Grave’s Disease) heat intolerance
anemia
amenorrhea
FT4
cachexia
Thyroid Storm non-compliance to taking medications

jaundice overactivity of the liver in

vague epigastric pain metabolizing thyroid hormones
nausea
vomiting
progressive generalized weakness Liver Failure
confusion
 sleeping time  in protein production
thrombocytopenia  immunoglobulins
AST
Immunocompromised
hypoalbuminemia
State (+) blood culture (Enterobacter aerogenes)
onset of febrile episode
febrile spike (T: 39.2C)
rhonchi on bilateral lung fields
thick yellowish secretions per ET tube
Sepsis GCS3
urine gram stain:
(+) yeast cells
(+) hyphal elements
BP: 80/60
Acute Tubular Septic Shock
(+) urine crystals
Necrosis

Death