When handling soiled Ilene you should

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

Where are teens exposed to ads about tobacco products? on the radio in magazines near schools on television

John and jane jones’ newborn baby girl, leah, has just been diagnosed with galactosemia. prior to their genetic counseling appointment, they submitted this family history: john and jane’s older child, a son named lee, does not have galactosemia. john is the only child of hanna and harry. harry was an only child. hanna has two older sisters, hope (the oldest) and holly. both harry and hanna’s parents lived in good health into their 80s. jane’s brother, joe, is married to jen. they have a son, les, who is a healthy nine-year-old with myopia (nearsightedness) but no sign of galactosemia. jane’s mother, hilda, is alive and healthy; jane’s father, henry, passed away last year of a sudden heart attack. hilda and henry have no family history of galactosemia. use the information in the family history to construct a pedigree for this family.