Describe los objetos que se lanzan

A32-year-old woman presents for a routine gynecological exam. she has been married for 5 years and plans to start a family with her husband in the near future. her first menstrual period was at the age of 11. she is in a 28/4 cycle with no irregularities or discomfort. at age 18, she had an induced abortion and has used oral contraceptives since then. in the recto-vaginal exam, you palpate a mass on the left side. an ultrasound confirms a complex cystic tumor 6cm in diameter on the left ovary. there is no free fluid in the pelvis. there is no family history of any malignant tumors. what is your therapeutic approach?

Public health policy such as in munizations to children attending public schools have improved the wellness of communities identify another policy that has promoted health within our community

A5-year-old boy suddenly begins coughing while eating peanuts. he is choking and gagging. when he is brought to the ed, but he is awake and is able to give his name. on physical examination, his vital signs are stable. on examination of the chest, inspiratory stridor and intercostal and suprasternal retractions are apparent. which of the following is the most appropriate initial step in management? - allow patient to clear foreign object by spontaneous coughing- clear oropharynx with multiple blind sweeps with finger- position patient and perform back blows- stand behind patient and perform abdominal thrusts- perform emergency tracheostomy and take to surgery