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A 64-Year-Old Man Comes to the Office Due to Persistent

question 731

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A 64-year-old man comes to the office due to persistent back pain, constipation, and easy fatigability for the last several months.  Blood pressure is 115/75 mm Hg and pulse is 88/min.  The patient has dry mucous membranes.  Laboratory results are as follows: A 64-year-old man comes to the office due to persistent back pain, constipation, and easy fatigability for the last several months.  Blood pressure is 115/75 mm Hg and pulse is 88/min.  The patient has dry mucous membranes.  Laboratory results are as follows:   Renal biopsy is performed and light microscopy shows atrophic tubules, many of which contain large, obstructing, waxy casts that stain intensely with eosin.  Which of the following is the most likely diagnosis in this patient? A) Acute pyelonephritis B) Aminoglycoside toxicity C) Hypersensitivity interstitial nephritis D) Ischemic tubular necrosis E) Lead nephropathy F) Multiple myeloma G) Nonsteroidal anti-inflammatory drug-associated nephropathy H) Papillary necrosis I) Urate nephropathy Renal biopsy is performed and light microscopy shows atrophic tubules, many of which contain large, obstructing, waxy casts that stain intensely with eosin.  Which of the following is the most likely diagnosis in this patient?

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Definitions:

Single Phase

Refers to a one-stage process or an electrical power supply that involves only one alternating waveform.

Multiphase

Pertaining to a process or system that involves several distinct stages or phases.

Queuing Situation

A scenario where entities wait in line for a service or resource, leading to analysis for efficient management of waiting times and service processes.

Arrival Behavior

The pattern or characteristics of entities (such as people, vehicles, or data packets) arriving at a service system or facility, crucial for designing service processes and managing queues.

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