The following describes this patient’s physical exam when you see him:
Vital signs: Heart rate is 105/min, BP 100/57, T 102oF
Head and neck: Purpuric lesions on roof of mouth; no lymphadenopathy
Chest: Normal to inspection, palpation, percussion, and auscultation
CVS: Heart sounds normal, no S3 or S4, no murmur
Abdomen: Non-tender, no hepatosplenomegaly
CNS: Disoriented to time and place. No focal changes
Skin: Petechiae on lower limbs