Iwent to the dentist and got a cleaning and after she got a x ray to see my wisdom teeth ( because i’m 15 and wisdom teeth tend to come in around 17 or younger) and she showed me the x ray and showed only 3 wisdom teeth. two on the bottom set and only one on the top, on the left i think. she said this was fine and not affecting me in anyway. i was just born like this (and quite lucky actually i don’t have to go through as much pain.. hehe) when it comes time to remove my wisdom teeth since i am feeling no pain at all and they have not yet came. i will have to tell my dentist surgeon that i only have 3 wisdom teeth, or else he will go cutting into me for no purpose on one side. i hope he doesn’t. that would be scary l m f a o . that’s what i’m scared of

A92-year-old man with a 45-year history of chronic obstructive pulmonary disease is intubated in the icu because of a bout of viral pneumonia that fails to improve after 72 hours of antibiotics. although the inspired fraction of oxygen is 100%, the patient's po2 remains at 57 mmhg. positive-end expiratory pressure (peep) is added to allow the inspired fraction of oxygen. twelve hours after the introduction of peep the patient suddenly become hypotensive. at the same time, his oxygen saturation drops from 92% to 61%. on physical examination, his bp is 80/50 mmhg and his pulse is 124/min. he has distended neck veins and distant heart sounds. which of the following would also most likely be seen on this patient's physical examination? - absence of breath sounds in the right hemithorax- high amplitude carotid artery upstroke- a pleural friction rub- pulsus alternans- splenomegaly