Passage / Scenario

Vital Signs
1000:
Temperature 38.1┬░C (100.6┬░F)
Heart rate 122/min
Respiratory rate 26/min
Blood pressure (BP) 136/85 mm Hg
SpO2 93% on room air

Physical Examination
1000:
Reports flu-like symptoms of headache, body aches, sore throat, low- grade fever, shortness of breath, productive cough.
Swollen lymph nodes.
Dry skin with rash.
Weight loss of 15 lbs. over last 3 months with report of diarrhea and anorexia, difficulty eating due to oral ulcers.

Diagnostic Results
1200:
Chest x-ray:
Areas of increased density and white infiltrates to lower right lobe indicative of pneumonia
1600:
Hemoglobin (Hgb) 11 g/dL (nl. 12-16 g/dL)
Hematocrit (Hct) 36% (nl. 36-48%)
Platelet count 155,000/mm3 (nl. 140,000-400,000/mm)
White blood cell (WBC) count 4,500/mm3 (nl. 5,000-10,000/mm)
CD4 count 400 cells/mm3.cpl 600 1 500 cells/mm3