Vitals: Temp 98.2F; HR 84; RR 18; BP 136/103
HENT: Dry mucous membranes
Neck: Nuchal rigidity present
Neurological: He is alert and oriented to person, place, and time. He has normal muscle tone and coordination, 5/5 strength in all extremities, intact light touch sensation, normal cranial nerves, and a normal steady gait.
Skin: There is a 3 cm x 3 cm maculopapular rash with small grouped vesicles in the center of the abdomen. Smaller 1 cm x 1 cm maculopapular patches on the right side of the abdomen, bilateral chest wall, and bilateral upper back are seen. There is also a 3 cm x 3 cm maculopapular rash on the right cheek.