Tips on making friends irl? I'm a misfit at school, nobody talks to me, I'm in a school of homophobic religious kids, who have everything against me. They call me the "Depressed kid" because I don't talk to anyone, and only wear baggy hoodies because I'm dysphoric about my gender. I genuinely need help, nobody wants to be my friend, and it's taking a toll on my mental health. I'd walk up to someone and ask to be friends, but I don't have the confidence.

What is taking actions to reach your goals

An 80-year-old woman comes to the urgent care clinic with dyspnoea on exertion. on physical examination, her blood pressure is 100/70, and her pulse is 75. she has no pulsus paradoxus. her jugular veins are distended, and she has distant heart sounds. in addition, she has extra third and fourth heart sounds. her liver is enlarged, and she has pedal oedema. she has occasional premature ventricular contractions on her electrocardiogram. a chest x-ray reveals clear lung fields with a dilated cardiac silhouette. her echocardiogram reveals ventricular walls with a "speckled pattern". which of the following is the most likely diagnosis? - alcoholic cardiomyopathy- amyloidosis- haemochromatosis- tuberculosis- viral myocarditis

High blood pressure is best described as