For the past 2 years, a 49-year-old woman has had a chronic cough that produces a...
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For the past 2 years, a 49-year-old woman has had a chronic cough that produces a small amount of whitish sputum. The sputum occasionally is blood-streaked. On physical examination, her temperature is 37.9°C, pulse is 71/min, respirations are 17/min, and blood pressure is 125/80 mm Hg. Crackles are heard on auscultation over the upper lung fields. Heart sounds are faint, and there is a 15 mm Hg inspiratory decline in systolic arterial pressure. The chest radiograph shows prominent heart borders with a "water bottle" configuration. Pericardiocentes is yields 200 mL of bloody fluid. Infection with which of the following organisms is most likely to produce these findings? (A) Mycobacterium tuberculosis (B) Group A streptococcus (C) Coxsackievirus B (D) Candida albicans (E) Staphylococcus aureus For the past 2 years, a 49-year-old woman has had a chronic cough that produces a small amount of whitish sputum. The sputum occasionally is blood-streaked. On physical examination, her temperature is 37.9°C, pulse is 71/min, respirations are 17/min, and blood pressure is 125/80 mm Hg. Crackles are heard on auscultation over the upper lung fields. Heart sounds are faint, and there is a 15 mm Hg inspiratory decline in systolic arterial pressure. The chest radiograph shows prominent heart borders with a "water bottle" configuration. Pericardiocentes is yields 200 mL of bloody fluid. Infection with which of the following organisms is most likely to produce these findings? (A) Mycobacterium tuberculosis (B) Group A streptococcus (C) Coxsackievirus B (D) Candida albicans (E) Staphylococcus aureus
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Auditing and Assurance services an integrated approach
ISBN: 978-0132575959
14th Edition
Authors: Alvin a. arens, Randal j. elder, Mark s. Beasley
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