A 55-year-old male was admitted to the hospital with acute renal failure (ARF). It was diagnosed at an outside hospital (OSH) where he was admitted for generalized weakness and chills. He has had episodes of total body severe diaphoresis for the past 45 days. Past medical history (PMH ) Atrial fibrillation (AFib), deep vein thrombosis (DVT), obesity, mild mental retardation, hypertension (HTN), GERD. Review of systems (ROS ) Episodic drenching whole body sweats, fatigue, mild decrease in appetite, no weight changes. Physical examination VS 35.6-102-20-164/118, 98% on 2 L nasal cannula.
A morbidly obese man with flat affect shivering under 4 blankets which are wet presumably from prior episode of diaphoresis. Skin exam: all skin surfaces wet. Cardiovascular: Irregularly irregular rhythm, tachycardic. Lungs: Clear to auscultation bilaterally. Abdomen: Soft, nontender and obese.…
