This patient both has left-sided heart failure and right-sided heart failure. In left-sided heart failure, this patient exhibits increasing shortness of breath on exertion as well as three pillow orthopnea which indicates pulmonary congestion. This is because of pooling of blood in the pulmonary circulation. Bipedal edema, in this patient is a grade 2 bipedal edema, reflect right-sided heart failure as there is pooling of blood in the systemic circulation, causing transudation in the most dependent areas of the body.
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Fragmental sedimentary rocks include shale, sandstone, conglomerate, <span>salt, </span><span>breccia, </span><span>limestone, </span><span>chert, </span><span>dolomite, coal, </span><span><span>siltstone, and gypsum.
As you can see, Gneiss is not listed among examples of fragmental sedimentary rock. So your answer is B.
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Answer:Some of these include: disease, predator/prey relationships, habitat destruction and degradation, food availability, hunting pressure, and weather conditions. Deer populations are not static; they continuously change in response to many factors.
Missing: SEP | Must include: SEP
Explanation: