He vividly remembers this because Vern forced him to drink a bit of the boar's blood as an initiation for his first kill, as well as smearing some of the blood on his face. The patient shows evidence of diffuse joint tenderness during examination of his extremities. Many of the lymph nodes of his head, neck and axilla as well as in the inguinal region are swollen. There are no unusual rashes or sores on his skin. He reminds you that his back hurts as well.
EENT exam reveals papilledema in both eyes, however all else seems normal.
His lung sounds are clear. His heart is mildly tachycardic, but reveals no rubs or murmurs. Upon percussion, his liver seems somewhat enlarged. His spleen also is enlarged, and projects well below the costal margin. It is palpable but neither the abdominal region of this organ or the liver is tender enough to produce pain.