Morningreport.pptVIP

History 79 year old white male who came to the ER after a fall also had one week history of weakness, dry cough and chest congestion without any fever or night sweats. He is a non-smoker and non-alcoholic.. PHYSICAL EXAMINATION: On physical exam: he was hemodynamically stable and the only significant finding on the physical exam was bronchial breathing on the left lower lobe DIAGNOSTIC STUDIES:  WBC 10.4, Hb 8.4,Hct 27.9,MCV 91, plt 196. Na133, K 4.4, chloride 102, bicarb of 22, BUN of 85, creatinine 1.7 , glucose 170, calcium 9.1. CXR new lung nodule at the right base and infiltrate