A 52  year old woman with COPD and breast cancer who presented to an OSH
  with SOB and back pain for several weeks.  Had been seen by PCP for the
  back pain and treated with pain meds.  Subsequently developed rash that
  was thought to be zoster.  In the last few days, increased O2
  requirement (2 liters at baseline --> 4 liters), cough, fevers and sore
  throat.   Noted sat of 79% with ambulation at home.
  At OSH, diagnosed with "multi-focal pneumonia."  In the process of
  obtaining a CT scan, had contrast infiltrate her arm with skin
  blistering and swelling.  Treated with ceftriaxone and transferred to
  [**Hospital1 1**].
  Patient admitted from: Transfer from other hospital
  History obtained from Patient, Medical records
  
  Physical Examination
  General Appearance: Well nourished, No(t) Anxious, sleepy
  Eyes / Conjunctiva: PERRL, No(t) Sclera edema
  Head, Ears, Nose, Throat: Normocephalic
  Cardiovascular: (S1: Normal), (S2: Normal), No(t) S3, No(t) S4,
  (Murmur: No(t) Systolic)
  Peripheral Vascular: (Right radial pulse: Present), (Left radial pulse:
  Present), (Right DP pulse: Not assessed), (Left DP pulse: Not assessed)
  Respiratory / Chest: (Expansion: No(t) Symmetric), (Breath Sounds:
  Wheezes :   expiratory, Diminished: ), scoliotic, can feel ribs on the
  back on the right move with breathing
  Abdominal: Soft, Non-tender, Bowel sounds present
  Extremities: Right: Trace, Left: Trace, No(t) Cyanosis, Clubbing
  Musculoskeletal: No(t) Unable to stand
  Skin:  Not assessed, No(t) Jaundice, resolving zoster rash on right
  lateral chest, right arm is wrapped
  Neurologic: Attentive, Follows simple commands, Responds to: Verbal
  stimuli, Oriented (to): person/place/time but sleepy, Movement: Not
  assessed, Tone: Not assessed