A 34-Year-Old Man Is Evaluated in the Clinic Due to Easy

question 355

Multiple Choice

A 34-year-old man is evaluated in the clinic due to easy bruising.  The patient says that even minor trauma causes a bruise and that he sometimes has spontaneous bruising over his legs.  He has also been experiencing generalized fatigue, poor appetite, and dull pain and stiffness in his lower back and joints at night.  The patient has a history of Crohn disease that required a partial bowel resection a year ago.  Three months ago, he was treated with oral antibiotics for a perianal fistula.  His mother died of colon cancer when she was 56.  Physical examination shows several large ecchymoses on his lower extremities.  Which of the following is the most likely diagnosis?

• A)Autoimmune hepatitis
• B)Bile acid malabsorption
• C)Factor VIII deficiency
• D)Immune thrombocytopenic purpura
• E)Leukocytoclastic vasculitis

Identify the impacts of electronic communication devices on the separation between work and personal life.

Comprehend the concept and application of social network analysis within organizational management.

Understand the concept of the shadow organization and how individuals contribute outside their regular responsibilities.

Learn the practice and benefits of management by walking around for gathering informal feedback.

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Definitions:

Culture-bound Syndrome

A collection of psychiatric and somatic symptoms recognized among members of a specific cultural group but largely incomprehensible to people outside that group.

Schizophrenia

A severe mental disorder characterized by distortions in thinking, perception, emotions, language, sense of self, and behavior.

Genetic Influence

The impact of genes on the traits or behavior of an organism, including physical characteristics, health conditions, and behavioral tendencies.

Biomedicine

focuses on the application of biological and physiological principles to clinical practice, emphasizing the diagnosis and treatment of diseases.