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Atrial fibrillation (AF) with a rapid ventricular response A previously healthy 22-year-old woman presents to the emergency department (ED) with acute shortness of breath. Her shortness of breath became worse with exertion and was associated with pleuritic chest pain for 2 days. She has had a fever, nonproductive cough, nausea, vomiting, and arthralgia. On presentation, she is febrile with a temperature of 101.5°F (38.6°C), a blood pressure of 88/54 mm Hg, a pulse of 104 bpm, a respiratory rate of 28 breaths/min, and an oxygen saturation of 88% while breathing room air. Her oxygen saturation improved to 92% with supplemental oxygen given at 2 L/min. She is in moderate respiratory distress; however, she can speak in full sentences. Her physical examination reveals absent breath sounds throughout the right thorax, with decreased breath sounds halfway up the left thorax. Other findings include egophony, decreased fremitus, and dullness to percussion on the right thorax. She has no jugular venous distention, edema on her lower extremity, or rash. Acute Liver Failure Acute liver failure (ALF), also known as fulminant hepatic failure, is a rare manifestation of liver disease and constittes a medical emergency. The syndrome arises from loss of hepatic parenchyma that may result from a variety of insults to the liver. Despite advances in medical management and the availability of liver transplantation, mortality rates in patients with ALF remain substantial. It has been estimated that in the United States, 2000 deaths a year are attributable to ALF. Tobacco Control Twelve states have approved this legislation in 2007, and three more states have legislation awaiting action by the governor. “This legislation is vital in the fight to reduce the 700 to 900 deaths annually from fires caused by cigarettes and other smoking materials, Hair Loss Treatment Hair Loss Treatment for Women Hair loss in women is not nearly as common as it is in men. However, because it is rarer and usually more subtle than typical male pattern baldness, it often goes undetected or misdiagnosed. Our hair loss treatment is as effective for women as it is for men, offering fast and comprehensive results for many types of hair loss.