Lethargy Scenario

You are called to a 69-year-old female who has been feeling unwell for 3–4 days with generalised symptoms including fatigue, dizziness, nausea with occasional vomiting, and poor appetite. On arrival, she is sitting on the sofa, alert and orientated, though she appears unwell and complains of “not feeling right.” You take her initial observations while gathering history. Her observations are: HR 42, SpO₂ 94%, RR 20, BP 85/60, Temp 35.8°C, BM 4.1.