Anatomy and Physiology - MasteringA&P Access
5th Edition
ISBN: 9780321887917
Author: Marieb
Publisher: PEARSON
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Chapter 19, Problem 3CCS
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 the dorsum are edematous and red streaks radiated on his right forearm.
Characters in the case:
Mr. Hutchinson, nurse, and doctor.
Adequate information:
Pain in the right ring finger.
To determine:
The correlation among the lymphocyte count, mega doses of antibiotics, and orders for additional protection.
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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.
Provide a brief description of the lymphatic system. What are its principal functions? Why is movement of lymph through the lym-phatic system very slow?
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Chapter 19 Solutions
Anatomy and Physiology - MasteringA&P Access
Ch. 19 - What is lymph? Where does it come from?Ch. 19 - Name two lymphatic ducts and indicate the body...Ch. 19 - What is the driving force for lymph movement?Ch. 19 - Prob. 4CYUCh. 19 - What is the benefit of having fewer efferent than...Ch. 19 - Prob. 6CYUCh. 19 - List several functions of the spleenCh. 19 - Lymphatic vessels (a) serve as sites for immune...Ch. 19 - Prob. 2RQCh. 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. 7RQCh. 19 - The lymphoid organ that functions primarily during...Ch. 19 - Collections of lymphoid tissue (MALT) that guard...Ch. 19 - Prob. 10RQCh. 19 - Prob. 11RQCh. 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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- Compare and contrast the formation of lymphocytes versus granulocytes and monocytes. What precursor cells form each? What specific formed elements are formed from each? What is the common stem cell from which all leukocytes originate?arrow_forwardWhat cells does lymph fluid contain?arrow_forwardLymphatic System Where is the excessive fluid which leaks during diffusion collected?arrow_forward
- What 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_forwardName five types of leukocytes, and list the major functionsof each type.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_forwardList the five major types of leukocytes. and describe one function of each type.arrow_forward
- 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.arrow_forwardMr. 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 substance in the lymph causes swelling ?arrow_forward
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