Conrad jackson is a 28-year-old man who presents to the emergency department with severe fatigue and dehydration secondary to a 4-day history of vomiting. during the interview, he describes attending a family reunion and states that perhaps he “ate something bad.” upon admission his vital signs are a temperature of 102.7°f, heart rate of 116 bpm, respiratory rate of 18 breaths/min, and blood pressure of 86/54 mm hg. the nurse also notes the patient has dry mucous membranes and tenting of skin. the physician orders an iv to be started with 0.45% normal saline, and orders a serum electrolytes and an arterial blood gas.
the following results are returned from the laboratory:
sodium (na+) 150
potassium (k+) 5.5
chloride (cl¯) 110
bun 42
creatinine 0.8
glucose 86
ph 7.32
paco2 35
hco3¯ 20
pao2 90
o2 sat 98%
what is your interpretation of this arterial blood gas sample?

Jordan is now 19-years old. as an infant, jordan reached many gross motor skill milestones, such as holding his head up, rolling over, sitting, and standing, at normal times. however, he was considered a "late walker" because he took his first steps at 17 months. by 2 years old, his parents noticed a hyperlordotic posture while he was standing. a gower's sign and trendelenberg gait were noted by age four. throughout his childhood, he suffered progressive muscle weakness, especially in the proximal musculature of the arms, pelvis, and legs. he required orthotic braces to assist his walking and was confined to wheelchair ambulation by age 13. at 16, he was hospitalized with bronchitis requiring antibiotic treatment, but recovered. jordan has a history of progressive muscle weakness, but no history of muscle pain or spasm, chest pain, or irregular heartbeat. the only medications that he normally takes are calcium and fluoride supplements. jordan has three siblings. his older and younger sisters have never had any major medical issues. jordan's older brother is also to a wheelchair with problems similar to jordan's. no other immediate or distant family members have musculoskeletal issues.1. jordan’s history aligns most closely with which diagnosis? a. amyotrophic lateral sclerosisb. multiple sclerosisc. duchenne muscular dystrophyd. myotonic dystrophy2. jordan had a biopsy of the left gastrocnemius muscle when he was 5 years old. based on your answer for his diagnosis, describe the microscopic pathological changes that the pathologist would have noted.3. explain, in your own words, why jordan’s brother appears to have the same disease and why his sisters are unaffected.

Patrick's parents are worried that he may face discrimination in his new neighborhood. which factor is most likely to cause worry to his parents? a. patrick has unusual pets at home. b. patrick belongs to a different culture than that of the majority group. c. both patrick's parents hold jobs outside the home. d. patrick likes a particular sport.

17. explain why or why not you might choose to utilize alternative, complimentary, and integrative/or medicine. explain how these types of medicine are different from traditional (orthodox) medicine?