20 year old female with severe pain, n&v and diarrhea x7 days. ER visit 2 days ago. CBC and CMP normal with CRP 54. 3L fluids IV, Cipro, oxycodeine, & zofran given and sent home. No fever but has had hot flashes and chills over 2-3 days. Continued to deteriorate, unable to keep fluids down while trying clear liquids. Began vomiting early this AM and continued with diarrhea 25-30 times/day, liquid, yellow color. Came to ER again at 8 AM. IV fluids started and given morphine and zofran IV. Abdominal pain is 6-7/10. CT of abdomen showed ovarian cyst and enlarged lymph nodes in pelvis. Awaiting transvaginal and pelvic ultrasound. Labs today ok except Hgb 11.4. Cdiff and stool sample negative from Saturday. What do you think?