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Problem: Zacharie Frie, age 25 and African American, presents to the emergency department. Mr. Frie and his family emigrated from Rwanda to the United States in1998. He was admitted to the hospital six times last year with abdominal pain, and he was most recently discharged 2 months ago. He is complaining of abdominal and bilateral lower extremity pain his usual sites of pain - but also right-sided chest pain. Mr. Frie reports that he recently had a "bad cold" that lasted almost five weeks and complains that the cough has returned in the past week. Given this patient's history of recurring pain, specifically in certain regions of the body, what is the underlying physiologic mechanism that is causing his bouts of pain? Does this patient's ethnicity have any direct correlation with the underlying cause of his pain? Why or why not?:
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