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A 26-Year-Old Man Returns to the Emergency Department After Developing

question 57

Multiple Choice

A 26-year-old man returns to the emergency department after developing a fever and skin rash.  The patient was discharged from the hospital 10 days ago after treatment for a copperhead snake bite to his left leg.  He received multiple doses of polyvalent Fab antivenom therapy and other supportive care during hospitalization.  The patient's bite site pain, swelling, and ecchymosis have resolved; however, he has developed fever, pain in multiple extremity joints, and pruritic rash over the past 2 days.  He has no chronic medical conditions.  Temperature is 38.5 C (101.3 F) , blood pressure is 128/70 mm Hg, pulse is 98/min, and respirations are 17/min.  Physical examination shows a diffuse urticarial rash.  No mucous membrane lesions are present.  There is tenderness to palpation of the bilateral metacarpophalangeal joints, wrists, and ankles with no redness or swelling.  Blood cell counts, serum chemistry studies, and coagulation parameters are within normal limits.  Which of the following is the most likely underlying mechanism of this patient's current condition?


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Outcomes

Outcomes are the results or consequences of actions, decisions, or processes, which can be evaluated to determine their effectiveness or impact.

Gender Differences

Refers to the distinctions in characteristics, roles, behaviors, and biological attributes traditionally associated with masculinity and femininity.

Past Research

Studies, experiments, or scholarly work conducted and published in the past, serving as a foundation for current knowledge and inquiry.

Multiparty Negotiations

Talks or discussions involving more than two parties aiming to reach a mutual agreement or resolve a dispute.

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