,PHYSICAL EXAMINATION,VITAL SIGNS:  T-max 103.2, blood pressure at this point is running in the 70s/mid 40s with a MAP of 52, heart rate is 100.,GENERAL:  The patient is much more alert appearing than my last examination of approximately 3 weeks ago. 
,PHYSICAL EXAMINATION , VITAL SIGNS : T - max 103.2 , blood pressure at this point is running in the 70s / mid 40s with a MAP of 52 , heart rate is 100.,GENERAL : The patient is much more alert appearing than my last examination of approximately 3 weeks ago .