Medicine, 05.09.2019 21:20, averiemiranda1
A70-year-old man comes to the physician because of fever, productive cough, and pleuritic chest pain for 1 day. over the past 2 years, he has had two similar episodes. he also has had persistent pain in the thoracic spine for 1 month. his temperature is 39.2°c (102.6°f), pulse is 94/min, respirations are 22/min, and blood pressure is 110/60 mm hg. there is dullness to percussion and decreased breath sounds over the right base. examination shows tenderness of the midthoracic spine. laboratory studies show: hematocrit 34%leukocyte count 15,000/mm3neutrophils 81%bands 4%lymphocytes 15%serum calcium 10.9 mg/dlx-rays of the chest show consolidation of the right lower lobe, lytic lesions at t8 and t10, and diffuse osteopenia. which of the following is the most likely diagnosis of this patient's back condition? (a) hiv infection(b) multiple myeloma(c) prostate cancer(d) staphylococcal osteomyelitis(e) tuberculosis osteomyelitis
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