A 46-Year-Old Man Is Brought to the Emergency Department 30

question 131

Multiple Choice

A 46-year-old man is brought to the emergency department 30 minutes after being found intoxicated in a park.  The patient reports a 10-day history of fevers, night sweats, weight loss, and productive cough with foul-smelling sputum.  He drinks 1 or 2 pints of vodka daily and has been hospitalized multiple times for intoxication.  Temperature is 38.9 C (102 F) , blood pressure is 110/65 mm Hg, pulse is 102/min, and respirations are 22/min.  Lung auscultation reveals coarse crackles over the right lower lobe.  Heart sounds are normal with no murmurs.  Laboratory results show an elevated leukocyte count.  Chest x-ray reveals a cavitary lesion with an air-fluid level in the superior segment of the right lower lobe of the lung.  Which of the following is the most likely cause of this patient's lung findings?

• A)Aspiration of gastric acid
• B)Aspiration of oropharyngeal bacteria
• C)Hematogenous spread from another focus of infection
• D)Primary mycobacterial infection
• E)Simple pulmonary aspergilloma

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Definitions:

Altered Self-concept

A change in how one perceives oneself, which can be due to various factors such as illness, injury, or significant life events.

Slumped Posture

A position in which the head and shoulders are drooping, indicating potential discomfort or poor ergonomic practices.

Authentic Lifestyle

Living in a way that is true to one's self, values, and beliefs, without wearing a facade for others.

Culturally Accepted

Practices or beliefs that are widely recognized and approved within a particular society or ethnic group.