Presentation

Past medical history significant for end stage renal disease, presents with lethargy and somnolence x 3 days. VS on arrival are BP 96/42, HR 94, RR 22, T 37.1, 96% on RA. JVD to angle of mandible w/ + kussmaul sign and bibasilar rales on physical exam.

Patient Data

Age: 50
Gender: Male
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