ID Case Conference #1 - 1/2/08. Gretchen Shaughnessy, MD Clinical Fellow Dept of Infectious Diseases. CC: Fever and Chills.
Gretchen Shaughnessy, MD
Dept of Infectious Diseases
Thin appearing gentleman in NAD
PERRL, EOMI, sclera clear
Erythema in the hard palate, soft palate and in both tonsils with some small pustules scattered throughout thrush on tongue and posterior OP.
Neck supple, no thryomegaly
Non tender LAD in bilateral cervical chains, largest 1.5cm in diameter. several shotty lymph nodes in both axilla, in the right epitrochlear, in both popliteal region as well as multiple nontender lymph nodes in the bilateral inguinal regions.
Cardiovascular RRR, nml S1/S2, no M/R/G, 2+ pulses throughout
Lungs CTAB, no w/r/r
Skin No rashes, 2cm lesion in R groin adjacent to scrotum with central opening, no surrounding erythema
Abdomen soft, NT/ND, no HSM, no rebound/guarding
Genito Urinary no urethral discharge
Extremeties no edema
Musculo Skeletal 5/5 strength throughout
Neurological CN II-XII intact, sensation and strength intact in BU and LE, 3+ DTRs symmetrically, no frontal release signs, cerebellar function intactPhysical Exam
Schacker, T. et. al. Ann Intern Med 1996;125:257-264
(Fiebig, AIDS 2003)