Documentation Guidelines

• Observations and physical findings regarding level of consciousness, degree of abdominal or chest pain, skin temperature, and color; presence of petechiae, splinter hemorrhages, Osler nodes, joint tenderness, abnormal vital signs, dyspnea, cough, and crackles or wheezing

• Presence and characteristics of heart murmurs

• Response to antibiotic therapy and antipyretics

• Presence of complications: Signs of right- or left-sided heart failure, arterial embolization

518 Influenza

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