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A65-Year-Old Man Is Brought to the ER Due to Recent

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A65-year-old man is brought to the ER due to recent dyspnea on exertion and generalized fatigue. He has a history of recurrent heart failure exacerbations last year. He has hypertension, myocardial infarction and hypercholesteromia. he has a 30-pack-yaer smoking history in addition to 15-year history of alcohol abuse. Physical examination reveals tachycardia, distended neck veins, bilateral crackles on lung auscultation, a third heart sound on cardiac auscultation, and pedal edema.  The appropriate therapy is initiated. On the third day of hospitalization, his hematocrit level increases to 50%, up from 44% on admission. An arterial blood gas analysis shows an arterial O2 partial pressure (PaO2) of 70 mm Hg. A 51Cr-tagged red blood cell infusion indicates normal red blood cell mass. Which of the following is the most likely cause of this patient's polycythemia?

Understand techniques for data management and confidentiality in Excel.
Recognize the utility of different views and layouts in Excel for optimizing user experience.
Grasp the importance and application of mathematical and logical operations in Excel.
Understand and apply conditional formatting based on specific criteria in Excel.

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