A47→ ear-old named Akio Nakamura presents to the ED at 2223 hours

A47→ ear-old named Akio Nakamura presents to the ED at 2223 hours. He Is an engheer for a large firm In the US. He stated that he recenth came back from a business tipi in central Asia, where he had been working on a new water infrastructure project. He states that he worded mainh outolors, supervising project sites. Akio also seys he had felt fine for most of the trip, but shorth belore leaving to travel home, he feit a little skick. Upon further questioning, the patient states that he decleded to come to the ED because he had a pendstent headache over the past few dass that has become unbarable, and his partner stated that he became sighty corfused and discriented this evening, Other Issues Aldo Is having Indude nausea to the poht where he has been voulting, further exacerbating his heachches. The patient, when asked, states that he has been more tired than usual and has been experiending diar hea. The patient’s vitai signs are stable yet elevated at this time with normal cogreen saturation. The health care provider discovers that the patient also has neck saceing and atimess.