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1. CPC #2:Shortness of breath, fevers, chills, and rigors Barbara J. Crain, M.D., Ph.D.
October 6, 2009 
2. External examination 
Taut, thickened skin, face and extremities
Gangrene, fingertips and toes
Multiple blisters (1-15 cm), some disrupted, lower extremities 
 
3. Heart