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Case Study 1: A young 27-yeals old male patient had surgery on his R hand. The c

ID: 3524841 • Letter: C

Question

Case Study 1:

A young 27-yeals old male patient had surgery on his R hand. The complete blood count (CBC) done indicates: very low total leukocyte count and low proportion of lymphocytes. One day after surgery, he complains of pain on his R injured ring finger. Observations indicates: the finger and dorsum are red, warm, and edematous, red streaks radiating proximally on the R forearm. High dosage of antibiotics was prescribed, and personnel was advised to have gloves and gown for his protection (known as reverse protection).

Questions:

1.   What is the connection between low level of lymphocytes, antibiotic treatment and reverse isolation? Why is important for him NOT to move his affected arm?

2.   Provide the best statement that explains the presence of red streaks in his forearm.

3.   Do you predict that his recovery will be uneventful or problematic? Why?

Case Study 2:

Mr. Smith is 52-yeaars old patient diagnosed 18 years ago with aggressive form of multiple sclerosis (MS). Back to the hospital, his doctor offer him one. Drug that will release steam cells from his bone marrow (collected from his blood), two. Antibodies against his T-lymphocytes. These procedures were offer to him in order to avoid problems such as transplant rejection.

Questions:

1.   What type of transplanted organ (aka graft) would it be if he receive someone bone marrow? On the other hand, what type of graft would be if he receive his own bone marrow?

2.   What are MHC proteins (class I or class II and what is the difference between the two classes)?

3.   The nurse explain to Mr. Smith that a bone marrow transplant from another donor could result in destroying his own immune cells. Provide your best explanation for this statement.

Explanation / Answer

(Case 1 study) qno 1 ans

Lymphoctes are the main defence system in body to protect organism from various type of infections.if an organism faces low level of lymphocytes his body is prune to various infections

The low level of lymphoctes is countered by given the patient antibiotics and put him in reverse isolation .antibiotics wll protect the patient from infection and revse isolation lower the load of infection threats from doctors , staff and vistors.

The patient ia advised not to move his infected arm because it cause strains in stiches and wound which could perhaps leads bleed or may face infection threats from surroundings.

Qno 2 . Ans

The tender red streaks develops at surgical organ shows infection of bacteria have invade vessels through lymphatic system which radiates rednes from wound upto the lymph gland.

Qno 3 ans

The recovery from surgury would be eventfull because the patient is treated with antibiotic and revrse isolation also proper care wll protect him

Case study 2

Qno 1 ans bone marrow transplant is suggested if anyone bone marrow has destroyed it is done by putting bone marrow stem cells into pheriferal blood system this donation from others is painfull causes headache , fatigue , vommiting etc.

On the other hand patient recives his own bone marrow it will as repaired cells from auto regulated syste to repair damaged cells.

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