HUMAN A&P TCC MOD.MAST.ACCESS CARD >I<
11th Edition
ISBN: 9781323846865
Author: Marieb
Publisher: PEARSON
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Chapter 20, Problem 1CCS
27-Year-Old Male with a Crushed Hand
Andrew Hutchinson, 27, had surgery to repair his right hand after it was crushed by his garage door. The routine complete blood count (CBC) performed on admission revealed both a dangerously low total leukocyte count and a low proportion of lymphocytes.
One day postsurgery, he complains of pain in his injured right ring finger. When examined, the affected finger and the dorsum of the right hand are red, warm, and edematous, and red streaks radiate proximally on his right forearm. High doses of antibiotics are prescribed, and a sling is applied to the affected arm. Nurses are instructed to wear gloves and gown for Andrew s protection (called reverse isolation) when tending to him.
Relative to these observations:
1. How might the low lymphocyte count, orders for antibiotic therapy, and reverse isolation be related? Why is it important that Andrew not move the affected arm excessively (i.e., why was the sling ordered)?
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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 the treatment available and the limitations.
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.)
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.
Chapter 20 Solutions
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