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List 2 nondietary lifestyle factors that contribute to childhood obesity

Name the literary device: “The heaving ground did not discriminate” (230).

Jonas’ mother’s name was

When Leopold and the boy scouts watch the turtles hatching on the beach, Leopold’s uncle tells them how the “males…never again would leave the sea unless they were caught by predators, or poached by humans” (102). Later, when his mother slapped him for getting a girl pregnant, Leopold “thought only of the big sea turtles that never returned to shore, the male ones, like his father, that went far, far away, made their way into the churning waters, and never, never ever came back” (108).

Richard recounts how “when [his] father died, and [his] mother found a place for [him] in a boarding school…[he seized the opportunity: [he] fled. Little by little, [he] put distance between [himself] and[his] mother” (69). is another book we read this class where a young person creates distance between themselves and their family.

What is the main idea of the article?  (2 pts: 1 point for the understanding of the main idea + 1 point for its articulation)

Do you think that reading is the same whether you do it with a print book or on some digital device? Explain and give a personal example that illustrates your response. (1 pt)

A thirty-six-year-old man presents with three months of fatigue and ten-pound unintentional weight loss. He reports multiple male and female sexual partners and inconsistent condom use. His complete blood count (CBC) shows mild normocytic anemia, mild thrombocytopenia, and mild lymphopenia. His basic metabolic panel (BMP) is normal. On examination, he has oral thrush but no lymph node enlargement or focal findings. Which test is the most appropriate to add now to help identify a unifying explanation for his symptoms and blood count abnormalities?

A fifty-two-year-old woman has fatigue and mild shortness of breath. Complete blood count shows low hemoglobin, low mean corpuscular volume, and high red cell distribution width. Ferritin and transferrin saturation are very low. What is the most likely diagnosis?

A thirty-two-year-old woman reports six months of fatigue, unintentional weight loss, salt craving, and intermittent dizziness. Blood pressure is ninety-eight over sixty sitting with a further drop when standing. She has diffuse skin darkening on the hands and in the palmar creases. Basic metabolic panel shows mild low sodium and mild high potassium. She is stable in clinic without vomiting or acute distress. What is the most appropriate next diagnostic step?