A 42-year-old female presents for a routine appointment. She…

A 42-year-old female presents for a routine appointment. She is a relatively new patient, seen for the first time for her annual gynecologic examination 6 months ago.  Today, the patient presents for evaluation and admits that she has difficulty concentrating and has long been described as “irritable” by her co-workers and her husband.  Despite the success of her restaurant, the patient reports “feeling sad and hopeless most days for the past several years.”  She initially thought that she was menopausal, although her menses are reported to be regular.  She denies any current or past symptoms of mania and denies suicidal ideation. Physical examination is unremarkable. Lab results include normal FSH, LH, and estradiol levels. Chemistry panel and CBC values all   within normal limits. Based on this information, which of the following conditions is the most likely diagnosis for this patient?

A mother seeks medical attention for her 7-year-old son beca…

A mother seeks medical attention for her 7-year-old son because for the last 12 months he “has not acted like his 3 older brothers.”  The mother indicates that her son has said on repeated occasions he wants to “get rid of” his male genitalia and he “wants to be a girl.”  She has found him wearing his sister’s clothing on numerous occasions, and he has asked his parents to call him only by his preferred name of “Angela.”  His male classmates are now teasing and embarrassing him in class, and it has begun to affect his schoolwork. Based on this information, which of the following conditions is the most likely diagnosis for this patient?

Complete the quote below (from the Wealth of Nations):: This…

Complete the quote below (from the Wealth of Nations):: This __________, from which so many advantages are derived, is not originally the effect of any human wisdom, which foresees and intends that general opulence to which it gives occasion. It is the necessary, though very slow and gradual consequence of a certain propensity in human nature which has in view no such extensive utility; the propensity to _____________.