Physical examination
Temperature 40C
Blood Pressure 70/55 mmHg
Heart rate under 60 beats/ minute
Respiratory rate 40/min
HEENT Normal
Lungs Clear
Abdomen Distended and painful in the right lower quadrant
Liver & spleen Enlarged and tender
Chest & back Salmon-colored, blanching, truncal, maculopapules ~ 1-4 cm