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A 68-Year-Old Man Comes to the Office Due to Increased

Question 150

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A 68-year-old man comes to the office due to increased abdominal distension.  The patient was discharged from the hospital last week after an acute pulmonary embolism.  He also has a history of emphysema caused by extensive tobacco use.  The patient has no other medical conditions and does not use alcohol or illicit drugs.  Temperature is 37.6 C (99.7 F) , blood pressure is 112/78 mm Hg, pulse is 85/min, and respirations are 18/min.  BMI is 27 kg/m2.  Examination shows increased jugular venous pressure and lower extremity edema.  The abdomen is distended, and a fluid wave is present.  This patient's ascites most likely developed due to which of the following changes in portal capillary exchange parameters?
A 68-year-old man comes to the office due to increased abdominal distension.  The patient was discharged from the hospital last week after an acute pulmonary embolism.  He also has a history of emphysema caused by extensive tobacco use.  The patient has no other medical conditions and does not use alcohol or illicit drugs.  Temperature is 37.6 C (99.7 F) , blood pressure is 112/78 mm Hg, pulse is 85/min, and respirations are 18/min.  BMI is 27 kg/m<sup>2</sup>.  Examination shows increased jugular venous pressure and lower extremity edema.  The abdomen is distended, and a fluid wave is present.  This patient's ascites most likely developed due to which of the following changes in portal capillary exchange parameters?   A) A B) B C) C D) D E) E F) F


A) A
B) B
C) C
D) D
E) E
F) F

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