Fever, Cough, Back Pain and Fatigue

Robert A. Kyle, MD, and Michael Tomasson, MD

Dr. Kyle: Mayo Clinic College of Medicine
Dr. Tomasson: Washington University School of Medicine, St. Louis, MO

Copyright of the American Society of Hematology, 2006. ISSN: 1931-6860.

This case was reviewed and updated in March 2011 by Dr. Shirley Parker Levine and members of the Teaching Cases Subcommittee.

II. PHYSICAL EXAM

While examining the patient you find the following:

  • Blood pressure: 170/90
  • Temperature: 102.6o F
  • Pallor of the conjunctivae, mucous membranes and nail beds.
  • Bronchial breath sounds and rales in the right lung base.
  • The liver and spleen are not palpable, and there was no lymphadenopathy.
  • There is no tenderness to palpation over the lumbar spine.
  • There is no pedal edema.

There are no other significant findings on examination.


Have a question or comment about the ASH Teaching Cases? Please e-mail webmaster@hematology.org.