Christopher C. Raio, MD MBA FACEP
Chairman, Department of Emergency Medicine, Good Samaritan Hospital Medical Center, West Islip, NY, USA Progressive Emergency Physicians
A 72 year-old female with a past medical history significant for diabetes and congestive heart failure presented to the emergency department with three days of worsening fatigue. “Mom just has not been acting like herself, and today seems slightly confused at times”, her daughter stated. The day prior, the patient developed a mild, dry cough and fever, with a maximum temperature of 101.2°F (38.4°C). Vital signs on arrival were:
Temperature: 100.5°F (38.1°C)
Pulse: 88 beats/min
BP: 112/76 mmHg
Respirations: 24 breaths/min
Pulse Ox: 95%