I would most likely associate this with either pneumonia (acute) or if patient is older some form of COPD; possibly Chronic Bronchitis.
The answer to your question is D
Answer:
The correct answer is: geography and UV radiation.
Explanation:
Skin variation occurred thanks to evolution, and was driven as a consequence of the geographical location of different populations of humans.
The humans that lived in hot and sunny places, closer to the equator, where much more exposed to the sun's ultraviolet radiation. In order to survive the amount of UV lights that they were exposed to, new humans in those regions were being born with a darker skin tone, which was rich in melanin (a brown pigment that protects us from the sun radiation).
Contrary to these humans that lived in the tropical areas, the humans that populated the areas that were closer to the poles, developed much lighter skin as a result of lower amounts of melanin in their skin. Since sun exposure in the poles is very limited, humans needed to receive as much as they could for the production of Vitamin D, and thus, their skins got lighter and less protected.
There is no picture, though.
