A 30-year-old m an w ith a long history of polydrug abuse cam e to the em ergency departm ent after.

A 30-year-old m an w ith a long history of
polydrug abuse cam e to the em ergency departm ent after expectorating a basin
of blood. The patient adm itted he was regularly using intravenous heroin and
oral am phetam ine. He also said he had sm oked m arijuana, phencyclidine, and
crack cocaine just prior to adm ission. A chest x-ray showed bilateral alveolar
in ltrates, and bronchoscopy revealed di use alveolar hem orrhage. Which of the
drugs he was taking m ost likely caused the hem orrhage?

A. Heroin

B. Phencyclidine

C.&

A 30-year-old m an w ith a long history of
polydrug abuse cam e to the em ergency departm ent after expectorating a basin
of blood. The patient adm itted he was regularly using intravenous heroin and
oral am phetam ine. He also said he had sm oked m arijuana, phencyclidine, and
crack cocaine just prior to adm ission. A chest x-ray showed bilateral alveolar
in ltrates, and bronchoscopy revealed di use alveolar hem orrhage. Which of the
drugs he was taking m ost likely caused the hem orrhage?

A. Heroin

B. Phencyclidine

C. Marijuana

D. Am
phetam ine

E. Crack
cocaine

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