A 35-year-old bank clerk presents to your office for evaluation of fatigue. She has a 15-pack-year history of smoking and had rheumatic heart fever in childhood. On auscultation of her heart, the S2 sound is widely split; that is, it persists like that throughout the respiratory cycle. What is the most likely cause of the wide and fixed S2 split?

This patient undergoes a gallbladder sonogram due to epigastric pain. the report indicates that the visualized portions of the liver are normal. no free fluid noted within morisons pouch. the gallbladder is identified and is empty no evidence of wall thickening or surrounding fluid is seen there is no ductal dilation. the common hepatic duct and common bile duct measure 0.4 and 0.8 cm respectively. the common bile ductmeasurement is at the upper limits of normal what cpt code in icd-10 cm code was used

Which of the following is a good strategy when it comes to desserts

4. if a cell is placed inside a solution that has a higher concentration of solute than on the inside of the cell, what can be said about the movement of water? a. water will move out of the cell, causing it to shrivel. b. water will move in and out of the cell at the same rate. c. water will move out of the cell, causing it to swell. d. water will move into the cell, causing it to swell.