A 26-year-old sports store manager comes to your clinic, complaining of severe right-sided abdominal pain for 12 hours. He began having a stomachache yesterday, with a decreased appetite, but today the pain seems to be just on the lower right side. He has had some nausea and vomiting but no constipation or diarrhea. His last bowel movement was last night and was normal. He has had no fever or chills. He denies any recent illnesses or injuries. His past medical history is unremarkable. He is engaged. He denies any tobacco or drug use and drinks four to six beers per week. His mother has breast cancer and his father has coronary artery disease. On examination he appears ill and is lying on his right side. His temperature is 100.4 and his heart rate is 110. His bowel sounds are decreased and he has rebound and involuntary guarding, one third of the way between the anterior superior iliac spine and the umbilicus in the right lower quadrant. His rectal, inguinal, prostate, penile, and testicular examinations are normal. What is the most likely cause of his pain?

What kind of Strickland painting does Dr. Coutras own?

What nationality is Brunot?

According to the diagram, which earth layer is the thinnest?

Why does Brunot think he and Strickland are alike?

What was the name of the old sailor Strickland and Nichols stayed with?

A 44-year-old male presents to the emergency room with the “worst headache of his life.” He is holding his head and appears severely distressed. This is a patient symptom that should prompt a clinician to look for signs of a:

According to this passage, the crust is

He thinks of another image: a soldier. What could it represent?

pulls on his boots, he stomps toher room in the palace, the one withoutcurtains, the one with a parrotin a brass ring. As he paces he wondersWho can I kill today. And for a momentthe little knot of screamsis still. The parrot, who has traveled He stomps (walk heavily) into her room without curtains and with a parrot (again?) What can you tell about his mother?