Chebet presents with fever and lethargy.

Sixty year-old woman brought to the clinic by her daughter. Episodes of shaking chills. Marked lethargy. Symptoms of 2 months duration. Vital signs: Respirations = 28/min Pulse = 106/min Blood pressure = 116/68 mmHg Temperature = 102°F Click to see sample pattern.

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• Physical findings
• Mucus membranes pale
• Chest clear, no abnormal heart sounds, no peripheral edema.
• No abdominal masses, bowel sounds WNL
• Extremities unremarkable, good peripheral pulses, no adenopathy.
• PERLA, reflexes WNL, no localizing neurological signs.

Lab tests are usually intermittent, but luck is with you today. Here they are.