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A 25-Year-Old Man Is Brought to the Emergency Department After

question 384

Multiple Choice

A 25-year-old man is brought to the emergency department after a syncopal episode. The episode occurred during a power lifting competition. The patient suddenly collapsed after he straightened up from lowering the barbell from over his head to the floor. He was unconscious for about a minute. He reported feeling lightheaded prior to collapsing but states he frequently feels lightheaded after he stands or raises up during his competitive power lifting matches. The patient does not report similar symptoms at other times. He does not have any known medical conditions. Family history is significant for hypertension. Temperature is 36.7 C (98 F) , blood pressure is 110/60 mm Hg, pulse is 72/min, and respirations are 16/min. He is awake, alert, and oriented with normal speech. Dry mucous membranes are noted on oropharyngeal examination. Heart and lung examinations are normal. Strength is 5/5 in the upper and lower extremities, and gait is normal. An ECG is normal. Laboratory results reveal the following: What is the best next step in management?

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Definitions:

Cash Inflow

Money entering a business from various sources, including sales, investments, financing activities, and more.

Issuing Bonds

The process of offering bonds to investors as a form of debt security, raising capital for the issuer.

Direct Method

In cost accounting, a method to allocate service department costs directly to producing departments without considering services rendered between service departments.

Net Cash

The amount of cash available after all cash inflows and outflows have been accounted for.