One of the patients that I had presented for this rotation was a patient suffering from Myxedema Coma. This is a rare but fatal condition that could easily be missed if the provider is not diligent enough in assessing the patient’s symptoms and lab results. This patient was previously diagnosed with Hypothyroidism which should already alert us to broadening our differential to thyroid-related disorders. She comes in lethargic and disoriented, with a blood pressure of 192/78 and bradycardic with a HR of 40 bpm. Bloodwork was drawn for labs and the patient was treated immediately. When presenting the case, my site evaluator made a point that this patient should be treated with Levothyroxine early on, in the case that this was Myxedema. That is exactly what happened; the patient was treated with Levothyroxine 200 micrograms IV, as well as Hydrocortisone 100 mg IV every 8 hours, D5W and NaCl bolus, as well as Cefepime 2 g IV and Vancomycin 1000 mg IV. The patient was quickly stabilized when the labs finally arrived showing that the patient had a TSH level of 165. With the diagnosis of Myxedema Coma confirmed, the patient was admitted to the ICU to be treated adequately. I found this case to be especially interesting, because not only is this a rare case, but it was also a great way to learn how to stabilize a patient quickly and efficiently. Through this case, I learned to take into account the patient’s history, vitals, and labs and how all these components contribute to life-saving decisions.