General appearance slightly unwell looking.
Vital signs: Heart Rate 142/min, Blood pressure 106/55 (mean 70) mmHg, Resp. Rate 32/min, SpO2 99%, Temp. 40.2 C.
A/B: Tachypneic, not talking in full sentences, but otherwise no additional signs of dyspnea, normal auscultation with no crackles.
C: tachycardic, normal heart sounds, no murmur, cap refill < 2 secs.
D: awake, alert, GCS 15, not meningitic.
E: Abdominal exam normal with no hepatosplenomegaly. Normal exam of ears and throat.
Skin: no rash. Redness of skin and pain on palpation on fingertip of 4th finger of the right hand, as well as on tip of toes I and II of the right foot. All joints with normal range of motion and no pain, swelling or redness.