ANAT & PHYSIO ALC&MODIFIED MASTERING &
17th Edition
ISBN: 9780135696620
Author: Marieb
Publisher: Pearson Custom Publishing
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Chapter 19, Problem 2CCS
Summary Introduction
Case summary:
The given case is of Mr. Hutchinson, who was another victim of collision and was admitted to the hospital. His routine complete blood count revealed low levels of total leukocyte and lymphocytes. He complained of pain in his right ring finger. On examination, it was found that the right ring finger and dorsum are edematous and red streaks radiated from his right forearm.
Characters in the case:
Mr. Hutchinson, nurse, and doctor.
Adequate information:
Pain in the right ring finger.
To determine:
The importance of not moving the affected arm excessively.
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Mr. X, age 57, presented to his physician with marked fatigue, nausea with occasional diarrhea, and a sore, swollen tongue. Lately, he also has been experiencing a tingling feeling in his toes and a feeling of clumsiness. Microscopic examination of a blood sample indicated a reduced number of erythrocytes, many of which are megaloblasts, and a reduced number of leukocytes, including many large, hypersegmented cells. Hemoglobin and serum levels of vitamin B12 were below normal. Additional tests confirm pernicious anemia.
Discussion Questions
1. Relate the pathophysiology of pernicious anemia to the manifestations listed above.
Mr. Alvis, age 57, presented to his physician with marked fatigue, nausea with occasional diarrhea, and a sore, swollen tongue. Lately he also has been experiencing a tingling feeling in his toes and a feeling of clumsiness. Microscopic examination of a blood sample indicated a reduced number of erythrocytes, many of which are megaloblasts, and a reduced number of leukocytes, including many large, hypersegmented cells. Hemoglobin and serum levels of vitamin B12 were below normal. Additional tests confirm pernicious anemia.
Discuss other tests that could be performed to diagnose this type of anemia.
Mr. Alvis, age 57, presented to his physician with marked fatigue, nausea with occasional diarrhea, and a sore, swollen tongue. Lately he also has been experiencing a tingling feeling in his toes and a feeling of clumsiness. Microscopic examination of a blood sample indicated a reduced number of erythrocytes, many of which are megaloblasts, and a reduced number of leukocytes, including many large, hypersegmented cells. Hemoglobin and serum levels of vitamin B12 were below normal. Additional tests confirm pernicious anemia.
Discuss the treatment available and the limitations.
Chapter 19 Solutions
ANAT & PHYSIO ALC&MODIFIED MASTERING &
Ch. 19.1 - What is lymph? Where does it come from?Ch. 19.1 - Name two lymphatic ducts and indicate the body...Ch. 19.1 - What is the driving force for lymph movement?Ch. 19.1 - Prob. 4CYUCh. 19.2 - Prob. 5CYUCh. 19.3 - Prob. 3CYUCh. 19.3 - What is the benefit of having fewer efferent than...Ch. 19.4 - List several functions of the spleenCh. 19.5 - Prob. 9CYUCh. 19.6 - Prob. 10CYU
Ch. 19 - Lymphatic vessels (a) serve as sites for immune...Ch. 19 - Prob. 2MCCh. 19 - Entry of lymph into the lymphatic capillaries is...Ch. 19 - The structural framework of lymphoid organs is (a)...Ch. 19 - Lymph nodes are densely clustered in all of the...Ch. 19 - The germinal centers in lymph nodes are largely...Ch. 19 - Prob. 7MCCh. 19 - The lymphoid organ that functions primarily during...Ch. 19 - Collections of lymphoid tissue (MALT) that guard...Ch. 19 - Prob. 10SAQCh. 19 - Prob. 11SAQCh. 19 - (a) Which anatomical characteristics ensures that...Ch. 19 - There are no lymphatic arteries. Why isnt this a...Ch. 19 - Prob. 1CCSCh. 19 - Prob. 2CCSCh. 19 - Prob. 3CCSCh. 19 - Prob. 4CCS
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- Mr. Alvis, age 57, presented to his physician with marked fatigue, nausea with occasional diarrhea, and a sore, swollen tongue. Lately he also has been experiencing a tingling feeling in his toes and a feeling of clumsiness. Microscopic examination of a blood sample indicated a reduced number of erythrocytes, many of which are megaloblasts, and a reduced number of leukocytes, including many large, hypersegmented cells. Hemoglobin and serum levels of vitamin B12 were below normal. Additional tests confirm pernicious anemia. Question 1 Relate the pathophysiology of pernicious anemia to the manifestations listed above.arrow_forwardWhat are the other namesby which erythrocytes areknown? What is the functionof these cells?arrow_forwardMr. Johnson, age 57, presented to his physician with marked fatigue, nausea with occasional diarrhea, and a sore, swollen tongue. Lately he also has been experiencing a tingling feeling in his toes and a feeling of clumsiness. Microscopic examination of a blood sample indicated a reduced number of erythrocytes, many of which are megaloblasts, and a reduced number of leukocytes, including many large, hypersegmented cells. Hemoglobin and serum levels of vitamin B12 were below normal. Additional tests confirm pernicious anemia. Discussion Questions Discuss the treatment available and the limitations.arrow_forward
- Mr. Johnson, age 57, presented to his physician with marked fatigue, nausea with occasional diarrhea, and a sore, swollen tongue. Lately he also has been experiencing a tingling feeling in his toes and a feeling of clumsiness. Microscopic examination of a blood sample indicated a reduced number of erythrocytes, many of which are megaloblasts, and a reduced number of leukocytes, including many large, hypersegmented cells. Hemoglobin and serum levels of vitamin B12 were below normal. Additional tests confirm pernicious anemia. Discussion Questions Discuss other tests that could be performed to diagnose this type of anemia. (See Pernicious Anemia—Diagnostic Tests.)arrow_forwardMr. Johnson, age 57, presented to his physician with marked fatigue, nausea with occasional diarrhea, and a sore, swollen tongue. Lately he also has been experiencing a tingling feeling in his toes and a feeling of clumsiness. Microscopic examination of a blood sample indicated a reduced number of erythrocytes, many of which are megaloblasts, and a reduced number of leukocytes, including many large, hypersegmented cells. Hemoglobin and serum levels of vitamin B12 were below normal. Additional tests confirm pernicious anemia. Discussion Questions Discuss how the gastric abnormalities contribute to vitamin B12 and iron deficiency and how vitamin B12 deficiency causes complications associated with pernicious anemia. (See Pernicious Anemia—Pathophysiology, Etiology.)arrow_forwardwhich leukocyte type would likely be elevated in a patient who has strep throat?arrow_forward
- Name five types of leukocytes, and list the major functionsof each type.arrow_forwardName the polymorphonuclear leukocytesarrow_forwardWhat would be the impact on lymph formation if the osmotic force at the venous end of the capillary was more successful at recovering fluid lost at the arterial end?arrow_forward
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