Aperson is free from mental illness, has a desire to try nee things, and high self esteem.

Samuel is a 63-year-old single man who works full time in a food processing plant. he has a history of esophageal cancer, which was treated successfully with anti-cancer drugs and surgery four years ago. his weight had been stable at 135 pounds until 6 months ago. since then, he has experienced an involuntary weight loss of 10 pounds. he complains of a poor appetite and being overly weak, tired, and irritable. he also complains of cracks at the corners of his mouth and a chronic sore throat, which concerns him, given his cancer history. his usual diet is fairly consistent. he states that he rarely eats breakfast because he starts work at 6 a. m. he eats two deli meat sandwiches, "usually pastrami or salami," and a soda at 10 a. m., and may eat a candy bar in the afternoon when he gets off work. he often prepares and eats a frozen dinner or pizza at home in the evening and routinely drinks "about four or five beers" before going to bed. occasionally, he cooks roast and mashed potatoes for dinner and may have cereal with milk for a snack before bed. he rarely eats vegetables or fruit. 1. considering samuel's alcohol consumption, which b vitamin may he be deficient in? a. pantothenic acid b. niacin c. riboflavin d. biotin e. thiamin

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

20. identify the main term from the following statement: gastrostomy with vagotomy