Vicki Parikh, MD
37 year-old male presents to the ED with four days of fevers, chills, abdominal pain, myalgias. Denies nausea, vomiting, and diarrhea. No known sick contacts. Works as a landscaper. Sexually active with one partner who is asymptomatic. Vitals on arrival: Tempt 100.9F, RR 16, BPM 115, BP 120/74, Sp02 100% RA.
A 45 year old man presents to your ED with facial flushing, an itchy rash, nausea and vomiting about 30 minutes after eating at a seafood restaurant in NYC. He says he ordered a peppery tasting fish. Vital signs are as follows: T: 99.8F, HR 105, BP 110/70.