(1)

(1)

Vitals

Max. Temperature 38.0°c

Heart Rate 110 bpm

Respiratory Rate 20 bpm

Blood Pressure 130/76

Physical Examination

General Young male looks older

than stated age

HEENT Pupils equally round and

reactive to light

Neck Supple

Resp Unilateral crepitation

Card Regular rate and rhythm

Abd Distended

Ext No edema

Skin Excoriated, otherwise

normal

Neuro Slightly altered, but

baseline

(1)

Microbiology

Blood culture No growth at five days

Sputum smear 4+ squamous epithelial

cells. 1+ segmented

neutrophils, no organisms

AFS No organisms

Sputum culture No growth at 48 hrs

Lab tests

Na 133mEq/L

135-145 normal

Creatinine 1.8

0.6-1.1 mg/dL

K 4.1

5.1-6.0mEq/L

WBC 9.48

3.5-10.5 billion

cells/L

Cl 96

95-105mEq/L

Hgb 11.4 g/dL

Platelets 149,000/mL

150,000-400,000/mL

HIV test NegativeRadiology: Signs of cavitation of left long with

infiltration in the middle

(2)

•

•

•

•

(3)

(5)

(4)

(1)

•

•

•

-

-

(6)

(1)

(2)

(3)

(4)

(5)

(6)