So, doing EM this month. It seems to me that in our ER, the min you see the patient, you put in all orders. We had this obese guy with subjective fevers for 3 days, non-septic, non-toxic looking. We did a full septic work up to cover our bases - never mind the guy had no findings on physical exam except symmetric weakness on finger grip test. Is it just me or are we trained wrong in the med school to go by the physical exam findings, not just subjective hx. Everything was neg and he went home on Tylenol. Patient was puzzled while his wifie, who is a nurse (was grinning and happy with all the work up we did.) Oh yeah, he is hypertensive and diabetic and we told him to go to his PCP(both have nothing to do with his "fevers"). My original plan to just do a CBC/BMP combined with his vitals would have led us to the same conclusion.