A 64-Year-Old Man Comes to the Emergency Department Due to Fever

question 389

Multiple Choice

A 64-year-old man comes to the emergency department due to fever, anorexia, and nausea.  He recently immigrated to the United States to live with his son.  Several weeks ago, on routine testing, the patient was found to have a positive purified protein derivative test.  He had no respiratory symptoms, and a chest x-ray was unremarkable.  A month ago, he started isoniazid therapy with pyridoxine supplementation.  Currently, temperature is 38.3 C (100.9 F) .  On physical examination, there is mild abdominal discomfort.  Laboratory studies are pending.  Which of the following is the most likely cause of this patient's current symptoms?

• A)Factitious disorder
• B)Gastric mucosal damage
• C)Hepatocyte damage
• D)Peripheral nerve damage
• E)Serum sickness

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Definitions:

Marx

Karl Marx, a 19th-century philosopher, economist, and revolutionary socialist known for his theories about capitalism and communism.

Consequences

The outcomes or results that naturally follow from an action or condition, affecting how situations unfold.

Sociological Imagination

The ability to see the connections between personal experiences and larger social forces, a concept introduced by C. Wright Mills.

Origins

Refers to the beginning or source of something, often used in discussions about the origins of societies, ideas, or species in historical or evolutionary contexts.