A 20-year-old man comes to the emergency department due to a 2-day history of increasing tiredness and exertional dyspnea. He also reports yellowish discoloration of the eyes and dark urine. The patient has no chronic medical conditions, but 5 days ago, he went to an urgent care clinic due to right leg cellulitis; a 7-day course of trimethoprim-sulfamethoxazole was prescribed. The cellulitis has improved. The patient, an exchange student from Israel, does not use tobacco, alcohol, or illicit drugs. Temperature is 37 C (98.6 F) , blood pressure is 116/76 mm Hg, and pulse is 104/min. Physical examination shows mild scleral icterus, pale oral mucous membranes, a faint systolic ejection murmur, and a nontender abdomen with no organomegaly. Hemoglobin is 7.4 g/dL and mean corpuscular volume is 90 µm3. Which of the following additional findings are most likely present in this patient?
Definitions:
Empty Nest Syndrome
Feelings of sadness or emotional distress affecting parents after children grow up and leave home.
Bone Density
A measure of the amount of minerals (mainly calcium and phosphorus) contained in a certain volume of bone, indicative of strength and health.
Stamina
The physical or mental capacity to sustain prolonged effort or activity without experiencing significant fatigue or loss of performance.
Athletic
Having physical strength, agility, and stamina; often refers to those skilled in sports or physical activities.
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