Joseph's physical exam continued.

• Chest is clear and there are no abnormal heart sounds.
• The abdomen is soft without organomegaly. There is no obvious tenderness.
• Extremities reveal no edema, although there are multiple fresh abrassions on the flexor surfaces of both legs.
• Neurological exam:
• Patient could only follow simple commands.
• There was no facial droop.
• Reflexes were equal on all extremities.
• Muscle strength, sensory and detailed cranial nerve exam were unobtainable.

At the time of admission several labs and a skull series were ordered. Skull X-rays revealed no evidence of skull fracture. Hemogram was ordered. An ELIZA for HIV is drawn. LP was not done because Joseph was afebrile.