A 12-month-old African-American boy presents with a 2-day history of irritability and refusal to bear weight. His 16-year-old mother denies any recent history of fever, vomiting, diarrhea, rash, or trauma. She does admit to giving her son a daily medicine that the pediatrician said would 'keep him from getting sick'. Family history is significant for a maternal uncle who had a stroke and died when he was 35 years of age. On exam, vital signs are stable. Patient is a well-developed, well-nourished toddler who appears irritable, but consolable. He is in no apparent distress; however, he does refuse to bear weight or play. The only significant findings on his exam are swollen hands and feet. CBC reveals WBC 18,000 mm3, with 40% neutrophils, 30% lymphocytes, and 1% monocytes. Hb is 8 g/dL and platelets are 400,000 mm3.What test would be helpful in making a diagnosis?

step 1 ammonium can be absorbed by plants, but some is converted into nitrates which are better for plants to absorb. this is called nitrification. 2. step 2 the deer eats the plants and uses the nitrogen-containing proteins for cell growth. 3. step 3 bacteria in the soil conduct nitrogen fixation to convert nitrogen gas from the atmosphere into ammonium. 4. step 4 some of the nitrates are absorbed back into plants, but denitrification breaks down the nitrates into nitrogen gas released back into the atmosphere. 5. step 5 nitrogen is found in the urine, which gets broken down into ammonium through the process of ammonification. 6. step 6 plants absorb the ammonium and begin assimilation, the process to add the nitrogen to protein.

correct answer: false

while planning water activities, it is very important to consider the weather, because if we do not plan and are going for a surf, then it might be that the hurricane came and drown us or may carry us to long distance from where we can not come back. there are many reasons to take information about the weather when we are planning any water activities.

hence, the correct answer would be false.

you know that this symptom is misleading and quite often is related to: heart attack

a heart attack is a condition that occurs when the blood flow that transports oxygen to the heart muscle is damaged or cut off completely. the coronary arteries that supply the heart muscle with blood flow can be blocked by the accumulation of plaque. also, when the plaque within the heart artery breaks, it creates blood clot that can also hinder the blood flow. men that are over 45years of age and women that are over 55years of age are at risk of having a heart attack. the symptoms of a heart attack include chest discomfort, chest pain, coughing, and shortness of breath.