A 44-Year-Old Man Comes to the Office Due to Swelling

question 34

Multiple Choice

A 44-year-old man comes to the office due to swelling of the legs and abdomen.  The patient has a history of alcohol-induced cirrhosis, and his ascites had been well controlled with furosemide.  Over the past week, he has had increasing bilateral lower extremity and abdominal swelling despite taking a diuretic as prescribed.  The patient reports no change in dietary sodium or water intake but states he has been taking over-the-counter ibuprofen after injuring his back recently.  He stopped drinking alcohol 2 years ago and does not use tobacco or illicit drugs.  Physical examination shows 3+ bilateral lower extremity edema and moderate ascites.  Which of the following changes most likely contributed to the acute deterioration in this patient's condition?

• A)A
• B)B
• C)C
• D)D

Recognize the importance and characteristics of organizational core values, and how they guide conduct over time.

Distinguish between the organizational mission, vision, and core values.

Acknowledge the concept and significance of stakeholders in an organization's ecosystem.

Learn how to develop effective mission statements and understand their role within an organization.

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Definitions:

Pan-Indian Movement

A social and political movement among Indigenous peoples in the Americas aimed at promoting unity and common interests across tribal lines.

Tecumseh

A Native American leader of the Shawnee who played a major role in the early 19th century in resisting the expansion of the United States into native territory.

Tenskwatawa

Tenskwatawa, also known as the Prophet, was a Native American religious and political leader of the Shawnee tribe in the early 19th century, known for his opposition to U.S. expansion and his role in the pan-Indian alliance.

Free Trade

An economic policy that allows imports and exports to flow freely between countries without tariffs, quotas, or restrictions.