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A 30-Year-Old Woman Comes to the Emergency Department with Intermittent

question 100

Multiple Choice

A 30-year-old woman comes to the emergency department with intermittent dizziness and unsteadiness for the last 2 weeks. Since yesterday, her symptoms appear to be worse and she has had several near-syncope episodes. The patient has no chest pain but has mild shortness of breath. Medical history is significant for obesity, intermittent asthma, and chronic cough. She had an episode of uveitis 6 months ago that was treated with topical therapy. She does not use tobacco and drinks alcohol only on special occasions. The patient has no pets and has been monogamous with a single partner for the last 3 years. On physical examination, her temperature is 37.2 C (98.9 F) , blood pressure is 126/76 mm Hg, pulse is 36/min, and respirations are 16/min. There are no heart murmurs. ECG shows sinus rhythm with 2:1 atrioventricular block and left bundle branch block. Chest x-ray reveals bilateral midfield lung opacities. Which of the following is the most likely diagnosis?

Definitions:

Bile

A digestive fluid produced by the liver and stored in the gallbladder, aiding in the digestion and absorption of fats.

Chronic

Referring to a condition or disease that is persistent or long-lasting in its effects, often for a person's lifetime.

Scaly

Covered with scales or flaky skin, often indicating a skin condition.

Itching Rashes

Skin eruptions that are characterized by redness, itchiness, and sometimes swelling.