Mrs. Bowers is a 41-year-old patient who requires surgical management of

osteomyelitis. She has a long history of methamphetamine use and has a BMI of 17.9 kg/m2 . She clearly is nutritionally depleted and volume contracted, but she has no clear chronic medical history except for unmedicated hypertension, which may be due to her chronic stimulant use. She denies alcohol use but admits to a 1½ pack a day cigarette habit. A primary postoperative concern for Mrs. Bowers is:

A.Excess bleeding     B. Thromboemboli development     C. Poor wound healing      D.Renal failure

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