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A 30 month old boy presents to the ED with history of excessive fatigue and noisy breathing. On further history, the family tells you he sleeps best when sitting on the couch with the TV on and has a history of tonsillitis. On exam, he is greater than the 95th %ile for weight and in the 50th %ile for height. He has no signs of acute infection or respiratory distress at this time, and his tonsils are a 3+ bilaterally. What is the most appropriate next step in the management of this patient based on his chief complaint and presentation? A 30 month old boy presents to the ED with history of excessive fatigue and noisy breathing. On further history, the family tells you he sleeps best when sitting on the couch with the TV on & has a history of tonsillitis. On exam, he is greater than the 95th %ile for weight and in the 50th %ile for height. He has no signs of acute infection or respiratory distress at this time, and his tonsils are a 3+ bilaterally. What is the most appropriate next step in the management of this patient based on his chief complaint and presentation?
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describe the five types of galaxies within Hubble classification system. Select one of the galaxy types and search online for an example
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Several statements found in the book of Ecclesiastes indicate a skepticism that seems contrary to the Bible as a whole.
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