27 yo female no psh most recent labs 11/20 WNL Positive for pyelonephritis 5/11. Never did CS. Cipro x10 then Bactrim now 7/20 comp. Developed edema to eyelids hands feet ankles 5/15. HR 88 at rest bp varying over course of days. SOB, fatigue, intermittent dizziness, nausea, anorexia, heat/cold intolerance , diaphoresis, palpitations extremely cold hands and feet. Ideas?