Yes.You can change its inside or outside
Lets say that the genotypes are:
Male affected:XbY
Male unaffected: XaY
Female affected: XbXb
Female carrier: XaXb
Female unaffected:XaXa
P: XbY x XaXa
F1: XaXb XaXb XaY XaY The middle square is female carrier.
P:XbY x XaXb
F1: XaXb XbXb XaY XbY The left square is affected female.
P:XaY x XbXb
F1: XaXb XaXb XbY XbY The right square is affected male.
For a 2 year old patient who was severely dyspneic and now unresponsive and no longer breathing, you will instruct your EMT to insert an OPA and begin give positive pressure ventilations with a BVM with 100% O2 to the patient. Palpate for a pulse and if <10 seconds you cannot feel a pulse, you will begin chest compressions.
The good thing about respiratory codes in children is that they normally always code due to lack of oxygenation. Once they are finally re-oxygenated, they will typically come around with better vitals.
Answer: The size.
Explanation: On the one hand the Emperor Penguin is bigger reaching up to 48 Inches (120cm) of height and 100 Lb in weight, on the other hand the Galápagos Penguin is much smaller. For example a large adult usually goes up to 21 Inches (53cm) and 5 Lb of weight.
This is directly related to the temperature of the environment in which each one develops, because a body exchanges heat in two dimensions through the surface. So, it's easier for a big creature to maintain core temperature stable.
This is really important in environments like the Arctic where temperature goes below zero and the opposite happen in the Equator where there is a tropical weather all the time.