A 33-Year-Old Man Comes to the Emergency Department Due to 3

question 593

Multiple Choice

A 33-year-old man comes to the emergency department due to 3 days of shortness of breath, profound fatigue, and chills.  The patient has a history of intravenous drug use.  He was enrolled in a methadone program but admits to relapsing last week.  Temperature is 40 C (104 F) , blood pressure is 75/40 mm Hg, pulse is 122/min and regular, and respirations are 40/min.  He is admitted to the intensive care unit but dies despite treatment efforts.  Lung autopsy findings are shown in the image below. Which of the following is the most likely diagnosis in this patient?

• A)Miliary tuberculosis
• B)Mycotic aortic aneurysm
• C)Severe small airway obstruction
• D)Tricuspid valve endocarditis
• E)Venous thromboembolism

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Definitions:

Rubella

A contagious viral disease characterized by fever and rash, important to control during pregnancy due to risk of birth defects.

Heart Defects

Abnormalities in the heart's structure that are present from birth, affecting its overall function and efficiency.

Mercury

A chemical element (symbol Hg) that is a heavy, silvery d-block element known for being the only metallic element that is liquid at standard conditions for temperature and pressure.

Motor Milestones

Developmental achievements relating to a child's physical ability to move and manipulate their environment, including crawling and walking.