In managed care all services must be approved by the

Awoman comes to your genetic counseling center because she knows that huntington disease occurs in members of her family. her paternal grandfather was afflicted, but so far her father shows no symptoms. her two great-great grandmothers on her father's side were healthy well into their 90s, and one of her great-great grandfathers died of unknown causes at 45. testing for huntington disease is extremely expensive, but she is concerned that she may fall victim to this disease and wants to plan her life accordingly. after examining her pedigree you advise her to

How could natural selection best be used to explain the evolution of the white fur of arctic fox

A24-year-old g4p2 woman at 34 weeks gestation complains of a cough and whitish sputum for the last three days. she reports that everyone in the family has been sick. she reports a high fever last night up to 102°f (38.9°c). she denies chest pain. she has a history of asthma with no previous intubations. she uses an albuterol inhaler, although she has not used it this week. vital signs are: temperature 98.6°f (37°c); respiratory rate 16/minute; pulse 94 beats/minute; blood pressure 114/78; peak expiratory flow rate 430 l/min (baseline documented in the outpatient chart = 425 l/min). on physical examination, pharyngeal mucosa is erythematous and injected. lungs are clear to auscultation. white blood cell count 8,700 mcl; arterial blood gases on room air (normal ranges in parentheses): ph 7.44 (7.36–7.44); po2 103 mm hg (> 100); pco2 26 mm hg (28–32); hco3 19 mm hg (22–26). chest x-ray is normal. what is the correct interpretation of this arterial blood gas?