69-year-old male with prolonged admission to ICU for septic shock for E coli liver abscess. Failed ward discharge and re-admitted with new fever. Findings include cachexia and generalized weakness, signs of COPD, tracheostomy, delirium, right chest drain for pleural effusion, abdominal drain with old drain sites. Candidates were directed to examine the patient with a few to making a differential diagnosis for the cause of the new fever