Breath/Difficul capillaries of the ANDY ty of Breathing alveolar septa in (Lungs) 3. RUQ Pain Liver Hepatomegaly ANDY 4. (Right) Flank Right Kidney Decreased perfusion ANDY pain radiating to the chest 5. Fever Heart (pericardium) Franz 6. Weakness and Kidney Decreased perfusion ANDY Fatigability 7. Nausea GI YEN 8. Tachycardia Heart a. Increased SNS Franz stimulation b. Pulmonary edema 9. Tachypnea Lungs Pulmonary edema ANDY 10.Orthopnea Lungs Pulmonary edema ANDY 11.Dysrhythmia Heart Acidosis FRANZ 12.Systolic Heart ANDY murmur (2nd ICS) 13.Tender GI YEN abdomen, Guarding LUQ and LLQ, globular abdomen 14.Leukocytosis Systemic ANDY (Neutrophilia) 15.CXR Lungs ANDY Pneumonia with minimal effusion 16.CXR Heart JB cardiomegaly 17.PAXR GI ANDY segmental ileus 18.ECG ST Heart FRANZ elevation, infarction of the anteroseptal wall 19.Trop I slightly Heart ANDY elevated 20.Exlap Dilated GI YEN large bowels, smooth enlarged liver