The Importance of Diagnosis

Cindy: The fever wouldn't have surprised you so much if he had presented in full-blown thyroid storm, right? And the fact that he didn't seem that sick, that the fever seemed kind of disproportionate. He was seen as an outpatient, his TFTs normalized and then at some point he was lost to follow up and he was readmitted onto my service several months later with the exact same presentation. Cevallos: It's like he intentionally stopped taking his medications to prove to you that you were right. This is all his thyroid.