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A 34-Year-Old Woman Comes to the Emergency Department After Noticing

question 444

Multiple Choice

A 34-year-old woman comes to the emergency department after noticing hemoptysis. Yesterday, the patient developed sudden-onset right-side chest pain and mild dyspnea while getting out of bed. For the last 4 days, she has had diarrhea as well as nausea and vomiting after eating in a new restaurant. The patient feels weak and thought her respiratory symptoms were due to being in bed and inactive. Her chest pain increases with deep breathing. Her other medical problems include HIV, heroin use, and a prior episode of cellulitis on the right arm. The patient's last CD4+ cell count 2 months ago was 350/mm³, and PPD at that time showed 2 mm of induration. She has a 15-pack-year smoking history. Temperature is 38.1 C (100.6 F) , blood pressure is 110/70 mm Hg, and pulse is 112/min. Mucous membranes are dry. Breath sounds are diminished at the right lung base. Chest CT scan is shown below. Which of the following is the most likely diagnosis?

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Definitions:

Health Insurance Benefits

Financial protection provided by insurance companies to cover the cost of medical care.

Employer Monitoring

Practices and technologies used by employers to oversee and record employees' work-related activities, often for performance evaluation or security purposes.

Telephone Calls

A form of communication over distances by converting auditory signals, such as speech, into electronic signals that are transmitted through wires or air.

Family and Medical Leave Act

A U.S. federal law granting eligible employees the right to take unpaid, job-protected leave for certain family and medical reasons.