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A 32-Year-Old Man Comes to the Emergency Department Due to a 2-Day

question 262

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A 32-year-old man comes to the emergency department due to a 2-day history of progressive difficulty walking and tingling in his feet.  He says that his feet feel "like they've gone to sleep" and states that he tripped while walking this morning.  Medical history is unremarkable except for an episode of acute diarrhea 2 weeks ago that resolved spontaneously.  The patient takes no medications.  He drinks 1-2 alcoholic beverages daily and does not use tobacco products or illicit drugs.  Vital signs are within normal limits.  Physical examination shows decreased muscular strength in the lower extremities bilaterally with absent deep tendon reflexes.  Which of the following agents is most likely associated with this patient's condition?


Definitions:

A State

A temporary condition or phase that an individual or system experiences, which can influence thoughts, feelings, and behaviors.

Positive A State

A condition characterized by the presence or increase of positive emotions or affect.

Addiction

A chronic condition characterized by compulsive engagement in rewarding stimuli, despite adverse consequences.

Solomon

Richard L. Solomon was an American psychologist known for his work on the opponent-process theory of emotions, which explains complex emotional and motivational states.

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