He did not see a doctor although he was advised to. At the point when his fever reached 38.3 C (101F) and he was experiencing shortness of breath he drove himself to the hospital.
O: Patient was well-nourished, and in respiratory distress n 2l/min oxygen by nasal cannula. His blood pressure was 165/90, heart rate of 120 bpm, respiratory rate of 33/min and oral temperature of 39.5 C (105F). "He demonstrated a frequent strong "hacky" and productive cough of white and yellow sputum. His skin appeared pale and damp." At the pronunciation of the 99 phrase the increased tactile and vocal fremitus were observed over the right lower lung along with bronchial sounds in the same region. His oxygen saturation was 87% and his arterial blood gases were as follows: "pH 7.56, PaCO2 24 mmHg, HCO3 -24 mmol/L, PAo2-56mmHg. His chest X-ray shows a right lobe infiltrated with pneumonia, air bronchograms, and alveolar consolidation. His white blood cell count was 21,000mm^3.
S: The therapist performing the rounds, 6 hours later, noticed that the patient complained that his doctor is too "young" and that he feels worse when he came to the hospital, although at this time his vitals were better
O: high blood pressure at 135/85, hr=90bpm, and resp, rate=19/min; oral temperature was 37.3C or 99F.; he also had strong nonproductive cough; chest ray indicated a partial resolution of the pneumonia, his bronchial breath sounds were audible and his SPO2 and ABGs values improved