Ok...let me start with "I know nothing!" being I just finished emt school...So I'm just throwing this out there....Is it possible this patient had appendicitis which was somewhat controlled by the antibiotics but not strong enough to prevent it from bursting ..constipation may be a side effect of inflammed appendix and surrounding bowels and if it burst, then the internal bleed might cause the low b/p and signs of shock which was only exascerbated by the diuretics? Thinking the hypothyroidism might be a little less significant than previously thought...ok, dont hurt me!