Péniel :
Some patients has multiple.problems! I once had a 74 yo f patient with htn, hx of smoking, drinking, gastritis, multiple surgeries, with undiagnosed cold (you know how vague they present) and superimposed pneumonia which later became hospital acquired and later got pseudomonas. She was obese, and diabetic which was not controlled! and she had many more things which happened in different time lines including hx of tb, her pe was pertinent for fever, and everything: resp, CVS, neuro, msk, urogenital... had something positive and relevant findings on almost every system!
It is rare, but what is the approach for these kind of patients?
2026-09-27 06:46:30