250 words, APA style, it needs a reference not a bibliography

 Question: Does my patient have significant aortic stenosis? 

 A 72 year-old woman with a history of CHF presents with several weeks of gradually progressive dyspnea on exertion (DOE). At her baseline, she is able to walk several blocks, but now feels winded. She denies chest pain, palpitations, syncope/near syncope, cough, orthopnea, or PND. She states she is compliant with her medications and diet. She has had a recent functional study that showed minimal ischemia.  

Meds

aspirin
digoxin 0.125 qd
lisinopril 20 mg qd
furosemide 20 mg qd
KCl 10 mEq qd

PE

HR 90, regular
PB 134/70

Labs

chem 7:
Na 132
K 5
Cl 94
HCO3 30
BUN 18
Cr 1.3
CBC: notable for Hgb 14 g/dL (Hct 43%)

CV

RRR, normal S1 and S2
No S3 but has S4
2/6 mid-peaking systolic murmur at the LUSB that radiates to the carotids.

PMI is mildly enlarged and sustained

Neck

Carotid pulse is brisk.
JVP flat
Positive abdominojugular reflux

CXR

Xray shows cardiomegaly and mild vascular redistribution

ECG

Unchanged with an incomplete LBBB pattern

Clinical Diagnosis

Worsening of her congestive heart failure (positive AJR, enlarged and sustained PMI, cardiomegaly, and vascular redistribution).

Clinical Questions

Is this patient’s worsening CHF due to significant aortic stenosis? 

Please elaborate why you think it may be aortic stenosis according to patient’s symptoms and how do you assess each symptom.

What search engines or databases are you using to identify the articles for your Article Summary assignments?

What keywords are you using for your search?

Have they been effective in finding articles that are relevant to your clinical practice? Include rationale.

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources
• ** NO AI, NO Plagiarism, Turnitin report 

Carbohydrates have received a bad reputation, especially when it comes to their role in weight gain. All carbohydrates are not bad and the primary role of carbohydrates in the body is to supply the cells with glucose for energy. One type of carbohydrate is sugar. Some people are unaware that instead of avoiding all sugars, they can choose to include natural sugars found in vegetables, whole grains, legumes, and fruit. On the other hand, most people know that too much fat poses health risks, but may be surprised to learn that too little does, too.

After studying Module 2: Lecture Materials & Resources, answer the following:

1. Navigate to My Plate: https://www.myplate.gov/Links to an external site. and to the Diabetes Plate: What is the Diabetes Plate Method?Links to an external site. (diabetesfoodhub.org) then, submit at least 1 paragraph comparing both for
   1. similarities
   2. differences
   3. share who should follow MyPlate and who should follow the Diabetes Plate method?
2. Navigate to the American Heart Association: http://www.heart.org/HEARTORG/Links to an external site. and to the National Cancer Institute: http://www.cancer.govLinks to an external site., submit a 1 paragraph analysis on the relationships between dietary fats and the risk of heart disease, cancer, or type 2 diabetes (choose one).
3. Choose a food label from your favorite snack, and take a picture of the Nutrition Facts on the food label. Navigate to the U.S. Food & Drug Administration, “Interactive Nutrition Facts Label: https://www.accessdata.fda.gov/scripts/InteractiveNutritionFactsLabel/#introLinks to an external site. Choose one ingredient from your label. Share with the class one (1) health fact and (1) action step you learned about that ingredient in the interactive site.
4. Explain the differences between high-quality and low-quality proteins, and well-balanced vegetarian diets.

Submission Instructions:

Your initial post should be at least 400 words, formatted, and cited in the current APA style with support from your textbook and the sources provided.  

Need Turnitin report