Internal Medicine and Subspecialties
27 year old male, recently married. Brought in by wife for 5 days of worsening fever and coughing and SOB. he refused to go to ER and wife can only bring him after he became confused and was too weak to walk and was crawling on the floor... Wife said that patient was complaining of abdominal discomfort for 2 days prior to coming to ER . Diarrhea also for last 2 days but not black or red. No nausea or Vomiting . No recent travel . Wife is not sick . Has no past medical history . Takes no meds. Non smoker. Fever 102. tachy 105. BP 130/70 Sat 90% on Room air. Patient is A and O x 2 only to self and wife . What do you want to do ?