Has recurrent substernal burning low in his chest

Rhinorrhea, bloody discharge, and chest discomfort

Difficulty breathing and feeling hot

Severe shortness of breath

Presents with fever for 1 week

Wife is complaining about his memory loss

Evaluation of headaches

Evaluation of muscle and joint pain, headaches, and fatigue

Has come to the E.R. for rectal bleeding

Weakness, aching, and numbness in lower extremities

In E.R. with right knee pain and changes in mental status

Presents to E.D. with shortness of breath and cough.