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Asked by SehunSetter
A 61-year-old man is brought to the Yale Emergency Department after being found on the floor of his apartment by a friend. The patient, who can give only minimal history, claims to have had abdominal pain and a cough for a few days, but cannot be more specific. His medical records state that he has a long history of alcohol use with many ED visits during alcoholic binges, but no admissions for any acute or chronic medical complications. He is on no medications, and lives alone. PE reveals a thin man in moderate distress. T 103, P 100, R 32, BP 98/64. SKIN – no rash or lesions. LN – none palp. HEENT – no evidence of trauma; eyes and fundi are normal; oropharynx is benign. CHEST – clear other than diminished breath sounds at the right base with overlying bronchophony. HEART – RRR with a 1/6 systolic ejection murmur at the base without radiation; no friction rub. ABD – soft, with some mid epigastric tenderness but no organomegaly. G/R – normal; stool heme negative. NEURO – nonfocal
SCIENCE
HEALTH SCIENCE
NURSING

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