A 21-year-old woman presents with a 3-month history of a black mole on her right calf. She tells you that the lesion is enlarging and expanding. It began to itch about 3 weeks ago, and it has bled 2 times. She thinks that there may have been a mole near the same spot previously, but she is not certain. Her general health is good; there is no history of chronic illness, hospitalizations, or surgeries. She works as a professional model for a large advertisement agency. She does not take any prescription medication; she does not use tobacco, alcohol, or recreational drugs. Although she has dark hair, she has a fair skin, and she says that she usually burns with even short sun exposure. She does occasionally use a tanning booth prior to modeling events and vacations. There is no family history of skin cancer. VS stable, she looks anxious, but she is otherwise well.
There is a dark brown-black nodule on the right calf 1 cm in diameter.
On the surface of the nodule, there is a tiny area of crusting. There are no hairs. The nodule is asymmetrical, and its border is sharply demarcated; the color is uniform, and the elevation is regular. There is a narrow (1-2 mm) rim of erythema around most of the nodule. She has a sprinkling (about 25-30 in all) of melanocytic nevi on her trunk and legs. There is no significant local or distal lymphadenopathy. The liver is not palpable. The remainder of the physical examination is unremarkable.

What is the most likely diagnosis?

Which food preservation method can people use at home? a. fermentation b. irradiation c. pasteurization d. thermal processing

Prompt: read the following case study and discuss the questions listed at the end of this page. brittany is a 15-year-old freshman in high school. she is the oldest child in a single parent family. she enjoys sports and participates in volleyball, basketball, track, and softball at school. her usual day consists of breakfast at home, which is usually a pop-tart on the way out of the house. lunch is a fast food meal with friends that often consists of a double cheeseburger, fries, and large regular soda pop after which she often feels stuffed and bloated, but feels she needs the calories for her busy sports schedule. she then doesn’t eat again until later in the evening even if she is hungry after school. supper is either a hot dog or pop at ball games or left-over food in the refrigerator after she gets home from practice. she doesn’t care much for fruits and vegetables other than bananas, corn and lettuce salad, as her mom seldom prepares them for the family or keeps fresh fruit on hand. she is 5’6” and weighs 115 pounds and would like to weigh closer to 100–105 pounds. a weight-for-height table puts her weight range at 125 pounds to 135 pounds. she is worried about gaining weight. a cute guy in her math class that she would like to date was overheard talking to his buddies and making fun of large girls in the class. she feels like she is always stressed for time with games and practices, homework to do in the evenings, and household duties she does for her mom who works to support the family. she feels like she has no leisure time for herself. when feeling extra stressed she will eat an entire large bag of potato chips or three to four cups of ice cream and then feel guilty afterward. questions: 1. name some of the components of brittany’s lifestyle and eating patterns that are contrary to the wellness approach to body size and weight management principles covered in this section. 2. what are some improvements she could make based on these principles? name as many as you can. what are some practical ways you can make improvements or healthy things you are already doing?

Which piece or legislation requires employers to eliminate or minimize exposure to contaminate sharps