Review Question - QID 209457

A 35-year-old woman presents to the emergency department for shortness of breath. Her symptoms have been worsening gradually over the past several months. She is clutching her left chest and states she is experiencing pain in this area. The patient works in a shipyard and competes in bodybuilding competitions. The patient has a past medical history of asthma and rheumatoid arthritis. Her current medications include albuterol and ibuprofen. She admits to alcohol and anabolic steroid use. Her temperature is 99.5°F (37.5°C), blood pressure is 137/85 mmHg, pulse is 90/min, respirations are 15/min, and oxygen saturation is 81% on room air. Laboratory values are ordered and are as follows:
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