Sixteen-year-old sam used drugs one time and was caught cheating on a test. sad over a recent breakup, sam has been spending a large amount of his day drawing pictures. should sam seek professional ? no, because sam didn’t break any laws or rules. yes, because sam is on a slippery slope and will escalate to unhealthy behaviors. yes, because sam clearly has depression and needs before doing something drastic. no, because sam is not displaying behaviors that require professional unless they continue or get worse.

A74-year-old woman, who has been followed for the past 25 years for chronic obstructive pulmonary disease comes to the ed complaining of 48 hours of temperature to 38.6 c and worsening shortness of breath. she has a chronic productive cough, which has become more copious. on physical examination, she has rhonchi and increased fremitus in the posterior mid-lung field. a gram's stain reveals many epithelial cells and multiple gram-positive and gram-negative organisms; no neutrophils are seen. which of the following is the most likely organism causing the symptoms? - escherichia coli- haemophilus influenzae- klebsiella pneumoniae- mycobacterium tuberculosis- mycoplasma pneumoniae