Snapshot A 34-year-old female with a past medical history of well-controlled Graves disease is brought to the emergency room for altered mental status. She is post-operative day 4 from an laparoscopic appendectomy for acute appendicitis. Her temperature is 104.2°F (40.1°C), blood pressure is 160/110 mmHg, pulse is 145/min, respirations are 21/min, and oxygen saturation is 95% on room air. Introduction Clinical definition login to view 2 more bullets Associated conditions login to view 1 more bullet Epidemiology Risk factors login to view 6 more bullets Presentation Symptoms login to view 7 more bullets Physical exam login to view 4 more bullets Studies Diagnostic testing login to view 9 more bullets Differential Sepsis login to view 3 more bullets Treatment Management approach login to view 1 more bullet First-line login to view 18 more bullets Long-term management login to view 1 more bullet Complications Arrhythmias Decompensated heart failure Death