HUMAN A&P TCC MOD.MAST.ACCESS CARD >I<
HUMAN A&P TCC MOD.MAST.ACCESS CARD >I<
11th Edition
ISBN: 9781323846865
Author: Marieb
Publisher: PEARSON
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Chapter 20, Problem 3CCS
Summary Introduction

Introduction:

Andrew Hutchinson ( 27-year-old man) injured his right hand by the garage door. He has undergone surgery to repair it. Theproportion of lymphocytes and total leukocyte count found very low on a routine complete blood count checkup. He had felt pain in his right ring finger post-surgically. On examination of his right hand, redness, warmth, and edematous were observed. Red streaks, radiating proximally on his right forearm, was very clear. Prescription of a very high dose of antibiotics is done and to the affected arm, a sling is applied. Doctors advised reverse isolation for his protection in which nurses have been asked to wear gowns and gloves while attending. After the surgery, his right armpit became tender and enlarged due to the increment of the lymph nodes.

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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 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.)
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.
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