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The Patient's Daughter's Unremarkable Clinical History
The patient's daughter says her father has been feeling unwell for the last few days. The physical exam reveals a clear chest with maltecipnea and no associated increased work of breathing. His cardiac exam is unremarkable, and he looks dry, although his extremities reveal good perfusion. Overall, given an unimpressive clinical exam and stable vitals, your clinical just stalt is that this patient is altered secondary to delirium.