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A 24-Year-Old Man Is Evaluated for Recurrent Episodes of Abdominal

question 515

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A 24-year-old man is evaluated for recurrent episodes of abdominal pain and bloody diarrhea.  The patient has also had low-grade fevers and fatigue.  Physical examination reveals left lower quadrant tenderness.  CT scan of the abdomen shows thickening of the distal colon and rectum.  During one of the laboratory tests, the patient's anticoagulated blood is placed in an upright, thin glass tube and left undisturbed.  His red blood cells form a stack and settle to the bottom at a fast rate of 50 mm/hr.  Serum levels of which of the following substances is most closely associated with this observed finding?


Definitions:

Critical Thinking

The process of logically analyzing and evaluating information or arguments to form a judgment or conclusion.

Society

A group of individuals living together in a more or less ordered community, often sharing common cultural and social institutions.

Benefits

Advantages or profits gained from something, such as a job, policy, or activity.

Holistic Critical Thinking

An approach to critical thinking that considers the whole context, including varied perspectives and interrelated factors.

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