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A 40-Year-Old Man Comes to the Emergency Department with 2

question 7

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A 40-year-old man comes to the emergency department with 2 weeks of fever, malaise, weakness, and an unintentional 2.3-kg (5-lb) weight loss.  During the last 4 days, he developed left-sided chest and upper abdominal pain.  He has asymptomatic mitral valve prolapse.  His wife was treated for an upper respiratory infection 3 weeks ago.  The patient works for a large corporation and frequently travels to Mexico.  He has a 20-pack-year smoking history.  He does not use alcohol.  His temperature is 39.4 C (103 F) , blood pressure is 120/70 mm Hg, pulse is 96/min, and respirations are 16/min.  Lung examination shows decreased breath sounds in the left lower lung field with dullness to percussion.  Cardiac examination shows a 2/6 systolic murmur at the apex.  Laboratory results are as follows: A 40-year-old man comes to the emergency department with 2 weeks of fever, malaise, weakness, and an unintentional 2.3-kg (5-lb)  weight loss.  During the last 4 days, he developed left-sided chest and upper abdominal pain.  He has asymptomatic mitral valve prolapse.  His wife was treated for an upper respiratory infection 3 weeks ago.  The patient works for a large corporation and frequently travels to Mexico.  He has a 20-pack-year smoking history.  He does not use alcohol.  His temperature is 39.4 C (103 F) , blood pressure is 120/70 mm Hg, pulse is 96/min, and respirations are 16/min.  Lung examination shows decreased breath sounds in the left lower lung field with dullness to percussion.  Cardiac examination shows a 2/6 systolic murmur at the apex.  Laboratory results are as follows:   Imaging studies reveal left-sided pleural effusion and splenomegaly with a splenic fluid collection.  Which of the following is the most likely underlying diagnosis in this patient? A) Chronic malaria B) Hodgkin lymphoma C) Infectious mononucleosis D) Infective endocarditis E) Lung adenocarcinoma F) Tuberculosis Imaging studies reveal left-sided pleural effusion and splenomegaly with a splenic fluid collection.  Which of the following is the most likely underlying diagnosis in this patient?

Identify the effects of observational or vicarious learning and modeling.
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Definitions:

Part Numbers

Unique identifiers assigned to each part or component within an assembly or system.

Order Parts

The process of requesting and purchasing spare or necessary components for machinery, systems, or assembly.

SAE

Society of Automotive Engineers, an international organization that develops standards for engineering professionals in various industries.

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