Differential diagnosis includes sepsis / severe sepsis, septic shock, meningitis, cellulitis, UTI, pneumonia , viral syndrome, gastroenteritis, emergent abdominal infection, among others. <br>Patient abdomen is benign, no evidence of emergent abdominal condition. <br>UA is clear, and without evidence of UTI.<br>No meningismus, not altered, no neuro deficits, not consistent with meningitis or encephalitis. <br>Chest xray with no evidence of infiltrate / pneumonia. <br>Presentation not consistent with severe sepsis / septic shock. <br>Sepsis bundle initiated on arrival. <br>Blood cultures, lactate drawn. <br>Lactate was elevated, patient given 30 cc/kg IV fluids by bolus and empiric antibiotics were started. <br>Patient will be admitted to the hospital for further care and evaluation.<br><br>Critical Care Statement<br>Critical care performed 35 minutes) Time is exclusive of separately billable procedures. <br>Time includes: direct patient care, patient reassessment, coordination of patient care, review of patient's medical records, medical consultation, family consultation regarding treatment decisions and documentation of patient care. <br>Organ systems at risk: Cardiac / circulatory.<br><br>
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