ANAT & PHYSIO ALC&MODIFIED MASTERING &
17th Edition
ISBN: 9780135696620
Author: Marieb
Publisher: Pearson Custom Publishing
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Chapter 19, Problem 4CCS
Summary Introduction
Case summary:
Mr. H complained of pain in his right ring finger and on examination;it was found that the affected finger and the dorsum of the right hand were edematous and red streaks emanated on his right arm. These red streaks are an indicator of hospital-acquired infection, which he might have developed after the surgery.
Characters in the case:
Mr. Hutchinson, nurse, and doctor.
Adequate information:
Pain in the right ring finger.
To determine:
The prediction of Mr. H. recovery as uneventful or problematic.
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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 other tests that could be performed to diagnose this type of anemia. (See Pernicious Anemia—Diagnostic Tests.)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 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_forwardName five types of leukocytes, and list the major functionsof each type.arrow_forward
- What is the other name of neutrophils?arrow_forwardCompare 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_forwardWhy are there so many more erythrocytes than leukocytes in both healthy and sick individuals?arrow_forward
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