system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 58-year-old female presents with a two-month history of intermittent non-bloody diarrhea. She reports that she has been following a raw food diet for six months to help her lose weight. The patient’s medical history is significant for anxiety, treated with fluvoxamine, and osteopenia. She reports her mother has lactose intolerance and has recently been diagnosed with osteoporosis. The patient denies any tobacco or alcohol use. When asked about recent travel, she reports she returned three months ago from a mission trip in Uganda. The patient’s temperature is 99°F (37.2°C), blood pressure is 130/78 mmHg, pulse is 70/min, and respirations are 14/min with an oxygen saturation of 98% O2 on room air. On physical exam, a new-onset systolic ejection murmur is noted and is heard loudest at the left second intercostal space. Which of the following may develop in this patient?
assistant
Niacin deficiency