Joseph is a 34 year-old man who was found unconscious at home.

The family indicated he has been treated for tuberculosis for the past month. The family also indicated Joseph drinks 1-2 alcoholic drinks a day and he may have fallen after a period of heavy drinking. The family left before the intern arrived, so no other history was immediately available.

The medical officer continued the TB treatment and admitted Joseph.

Physical Exam:

• Thin man in no apparent distress, able to open eyes upon command, but otherwise is nonverbal.
• Vital signs: Temp = 37.2°C, Pulse = 88, BP =130/70, Resp = 22.
• PERLA, no strabismus.
• Neck supple, no nuchal rigidity.
• Oral mucosa is pale and there is no thrush.
• There is a large fresh abrasion on the left cheek.

Physical exam continued.