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A 36-Year-Old Man Comes to the Emergency Department Due to a Week

question 215

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A 36-year-old man comes to the emergency department due to a week of progressive right upper quadrant pain, malaise, anorexia, and fever.  Three months ago, he returned from a vacation in Nepal, where he hiked in the mountains.  During his trip, the patient had several self-resolving episodes of diarrhea.  He also had unprotected sexual intercourse with a woman he met during the trip.  He received no prophylactic vaccinations or oral medications prior to travel.  Temperature is 38.5 C (101.3 F) , blood pressure is 120/70 mm Hg, and pulse is 96/min.  Breath sounds are decreased in the right lung base.  The liver is palpable 3 cm below the right costal margin with a tender, smooth edge.  There is no splenomegaly.  Laboratory results are as follows: Abdominal ultrasonography reveals a small, solitary hypoechoic lesion on the right lobe of the liver.  Which of the following is the most likely cause of this patient's condition?


Definitions:

Extraverted

Describes a person who is outgoing, sociable, and derives energy from interacting with other people.

Alcohol Exposure

The extent to which an individual comes into contact with alcohol, affecting their physiological and psychological state.

Alcoholism

Alcoholism, also known as alcohol use disorder, is a condition characterized by an impaired ability to stop or control alcohol use despite adverse social, occupational, or health consequences.

Positive Linear

Refers to a direct relationship where as one variable increases, the other variable also increases at a constant rate.

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