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A 22-Year-Old Man Is Brought to the Emergency Department by His

question 166

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A 22-year-old man is brought to the emergency department by his girlfriend after sustaining a hand injury.  The two were waiting for a table at a crowded bar when the hostess inadvertently seated another couple that was behind them in line.  The patient suddenly became enraged, started pacing back and forth, shouted at the hostess that she was "stupid and incompetent," and threw a nearby chair against the wall, causing damage to the wall and injuring his own hand.  He is remorseful about his behavior, but his girlfriend says, "He can be moody, frequently gets defensive, and loses his temper with the slightest provocation."  They have had several heated arguments during which he has thrown and broken objects.  The patient has no medical history.  Physical examination is unremarkable except for swelling and lacerations of the hand.  Which of the following is the most likely diagnosis in this patient?


Definitions:

Direct Labour Cost

The total expense a company incurs for paying the wages of direct labor employees directly involved in producing goods or services.

Overhead Rate

The rate used to allocate manufacturing overhead to individual units of product, typically based on a standard measure such as labor hours or machine hours.

Normal Costing System

An accounting method that assigns indirect costs based on a predetermined rate and direct costs based on actual values.

Actual Overhead Costs

The real expenses incurred for indirect materials, labor, and other costs that are not directly tied to the production of goods or services.

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