A 6-week-old infant presents to your office for a check-up. The baby was born full-term by NSVD to a 29-year-old G1P0 mother with no complications. Mother states the baby was feeding well until a week ago, when he developed increased sleepiness, prolonged feeding, and greater duration between feeds. His mother notes he stops to take breaks during feeds because he seems to be trying to catch his breath. He has four to six wet diapers per day and stools three or four times per day. Vital signs: Temperature is 37.6 C (99.7F), respiratory rate is 68 breaths/minute, pulse is 138 beats/minute, blood pressure is 88/58 mmHg, and oxygen saturation is 98%. The physical examination is notable for increased respiratory effort and retractions, and, upon cardiac examination, a murmur with a hyperactive precordium and no cyanosis. Abdominal exam reveals a liver edge palpable to 4 cm below the right costal margin.
Which condition would be LEAST LIKELY to be the cause of the infant's symptoms?

A) Aortic stenosis
B) Coarctation of the aorta
C) Ventricular septal defect
D) Patent ductus arteriosus
E) Atrial septal defect

Ithink b hope that

Science27 of the most iconic, jaw-dropping photos of the earth and the moon from spacedave mosher  oct 1, 2018, 11: 13 am etnasa/flickrapollo 11 astronauts took this photo of earth on july 20, 1969.from the ground, earth looks like a boundless fertile plain that beckons to be explored and exploited.but astronauts would beg -  and even plead  - to differ."you realize that people often say, 'i hope to go to heaven when i die,'" jim lovell, an astronaut who flew on the apollo 8 and apollo 13 missions to the moon, previously  told business insider. "in reality, if you think about it, you go to heaven when you're born."lovell has seen first-hand that we live on a tiny rock hopelessly lost in the void. he's also quick to tell you it's the only one we've got - a  fragile spaceship  for more than 7 billion people: "you arrive on a planet that has the proper mass, has the gravity to contain water and an atmosphere, which are the very essentials for life. and you arrive on this planet that's orbiting a star just at the right distance - not too far to be too cold, or too close to be too hot - and just at the right distance to absorb that star's energy and then, with that energy, cause life to evolve here in the first place. in reality, you know, god has really given us a stage, just looking at where we were around the moon, a stage on which we perform. and how that play turns out is up to us, i guess."humanity has recorded photos of earth from hundreds, thousands, millions, and even billions of miles away, some of them taken by lovell himself.these images not only scientists study our dynamic world, but also understand how a habitable planet looks from afar, which aids the search for  more worlds. most importantly, however, the images underscore our peculiar existence on  a mote of cosmic dust.take a moment to ponder 27 of the most arresting images of earth that humankind has ever captured from space.a