[Expert Solution]: Case study; Age 57

Case study; Age 57. Medical history : hypertension. Chief complaint: shortness of breath and fever. History: david was brought to the emergency room via ambulance after experiencing worsening shortnessof breath, fever, chills and confusion. Over the past week, he had increasing right upper quadrant abdominal pain, nausea, and loss of appetite. His family reports that he became progressively weak and disoriented over the past 24 hours. Clinical findings: Temperature: 39.2 celcius Blood pressure: 90/60 mmHg I Heart rate: Flannel 120 red bpm Respiratory rate: 24 breaths/min scaring people Oxygen saturation: 91% on room air. Physical exam: Jaundiced appearance RUQ tenderness with guarding Hypoactive bowel sounds Mild confusion amd altered mental status MRI showed liver abscess and biliary obstruction. Physician ordered tests: urinalysis CBC candy ESR 27 mm/hr CMP blood culture Lactate level: elevated