A 23-year-old computer programmer comes to the office for an annual examination. She has recently become sexually active and wan
ts to start oral contraception. Her only complaint is that the skin in her armpits has become darker. She states it looks like dirt; she scrubs her skin nightly with soap and water, but the colour stays. Her past medical symptoms consist of acne and mild obesity. Her periods have been irregular for 3 years. Her mother has type 2 diabetes and her father has high blood pressure. The client denies tobacco but drinks four to five drinks on Friday and Saturday nights. She denies any illegal drug use. Examination shows a mildly obese woman breathing comfortably. Her vital signs are unremarkable. Inspection of the axillae reveals dark velvet-like skin. Her annual examination is otherwise unremarkable. What disorder of the breast or axilla is she most likely to have?
Chemiosmosis is the diffusion of ions through a selective permeable membrane. It specifically refers to the production of ATP through the movement of hydrogen ions through an inner membrane during cellular respiration. Hydrogen ions diffuse from an area of high proton concentration to one of lower concentration.
<span>From the given observation are the shift of trachea to right and the distending of neck veins and the medical condition of pneumothorax implies that the sounds from the lungs are not heard on the left side of the chest. This is a case of suspicion of malignancy and since it requires immediate attention it must be in secondary stage.</span>
ExA physical change is a change from one state of matter to another; a chemical change results in a new substance formed. A chemical change does not result in a new substance being formed, whereas a physical change does.planation:
