Global Grand Rounds in ID (2022-2-23)

Physical Exam

65-year-old man with history of coronary artery disease and splenectomy from remote trauma presents with 12 days of worsening diarrhea, fevers, weakness, fatigue, and altered mental status.

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  Vitals: T102.4   BP124/74   HR104   RR27   SpO297% on 2L NC
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  Gen:Confused, non-responsive, ill-appearing
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  CV:Tachycardic and irregular w/ no murmurs
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  Pulm:B/l wheezes
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  Abd:hepatomegaly, NTP
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  Ext:well-perfused, no edema
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  Psych:AO x 1
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  Skin:Livedo reticularis on lower extremities