A 23 year old G1P1 woman is five days post-operative from a cesarean delivery for arrest of labor at 7cm. She now complains of minimal abdominal pain and drainage from the right side of the incision. Lochia is normal, and she has no urinary complaints. Her vital are normal, and she is afebrile. On physical exam, her lung and cardiac examinations are normal. Her abdomen and uterine fundus are non-tender. She has tenderness along her Pfannenstiel incision extending 3 cm from the incision, and there is serous, bloody drainage coming from the right side. What is the next best step in the management of this patient

Rectangle pqrs has vertices p(1, 4), q(6, 4), r(6, 1), and s(1, 1). without graphing, find the new coordinates of the vertices of the rectangle after a reflection over the x-axis and then another reflection over the y-axis.

What part of the menstrual cycle is the femal most likely to get pregnant and why

Harold, a fifty-eight year old grocery store manager, had recently been waking up in the middle of the night with abdominal pain. this was happening several nights a week. he was also experiencing occasional discomfort in the middle of the afternoon. harold decided to schedule an appointment with his physician. the doctor listened as harold described his symptoms and then asked harold some questions. he noted that harold's appetite had suffered as a result of the pain he was experiencing and as a result of the fear that what he was eating may be responsible for the pain. otherwise, harold seemed fine. the doctor referred harold to a physician that specialized in internal medicine and had harold make an appointment for a procedure called an endoscopy. the endoscopy was performed at a hospital later that week. during the procedure, a long, thin tube was inserted into harold's mouth and directed into his digestive tract. the end of the tube was equipped with a light source and a small camera which allowed the doctor to observe the interior of harold's stomach. the endoscope was also equipped with a small claw-like structure that the doctor could use in order to obtain a small tissue sample from the lining of harold's stomach, if required. the endoscopy revealed that harold had a peptic ulcer. analysis of a tissue sample taken from the site showed that harold also had an infection that was caused by helicobacterpylori bacteria. the doctor who performed the endoscopy gave harold prescriptions for two different antibiotics and a medication that would decrease the secretion of stomach acid. the doctor also instructed harold to schedule an appointment for another endoscopy procedure in 6 months. 1. list the subjective findings in this case study. 2. what is an endoscopy? (2 points) what is a biopsy? 3. how was a biopsy performed on harold? 4. differentiate between gastric and duodenal ulcers by location. 5. what role does h. pylori play in the formation of peptic ulcers? 6. define occult and frank blood. (4 points) what is a guaiac test? 7. how can peptic ulcers cause bleeding? 8. why were antibiotics prescribed? 9. why would a medication that would decrease the secretion of stomach acid be beneficial?