A67-year-old woman, whose husband died 18 months ago, is admitted to the hospital because of severe headaches for 4 weeks. she is quiet and seems sad. she believes that she has brain cancer, deserves to be punished for her sins, and is being punished by god for past misdeeds. she has had fatigue and a 6.8-kg (15-lb) weight loss over the past 4 months. physical and neurologic examinations show no abnormalities. most likely diagnosis?

Describe the major differences between a person with good wellness and one heading toward premature death

Which of the following best describes sports protective equipment

A46-year-old man with a history of hypertension and hypercholesterolemia visits the physician for a routine followup. the patient's job involves a lot of travelling, and he admits to occasionally forgetting to take his medications with him when he travels. he complains of several episodes of chest pain in the past few months. the pain is sharp in nature, mainly over his lower chest and epigastrium, and tends to come on when walking. he believes these episodes are due to indigestion and has been taking antacids. there is a family history of heart disease, and his father died of a heart attack at age 48. on physical examination, his blood pressure is 150/80 mmhg and heart rate is 86/min. his lungs are clear to auscultation. cardiac auscultation reveals normal rate and rhythm, without rubs, gallops, or murmurs. there is no pedal oedema. he is sent for an exercise stress test. five minutes into the test, he develops st depression of 3mm in leads v1-v5. the st segment depression is greater than 0.12 seconds in duration and the stress test is stopped. which of the following is the most appropriate next step in management? - coronary angiography- holter monitor- no further tests are required- repeat stress test with thallium- upper gastrointestinal endoscopy