Homework Help is Here – Start Your Trial Now!
Science
Nursing
CASE STUDY 11.2 Victoria and Rusty were worried about their infant Bailey since his first trip to the hospital at 3 weeks of age. At that time, he had a temperature of 103°F and a runny nose. The emergency department physician examined the infant, but determined the child was suffering from a common cold, probably brought home by his older siblings, and that all would be fine. Since then Bailey's health has not improved and he has experienced an unusual number of bacterial infections. The antibiotics that Bailey's pediatrician prescribed have cleared up the bacterial respiratory infections, but the infection seems to recur. Bailey is now back at the hospital with pneumonia and his physician has ordered a number of laboratory tests as he is now worried about Bailey's immune system. The studies show that Bailey has normal levels of B cells and T cells, with his immunoglobulin levels and hematology results listed in Case Study Table 11.2.1. CASE STUDY TABLE 11.2.1 Laboratory Results Test Result Reference Interval 6 mo-2 y: 30.9-37.0% 6 mo-2 y: 10.3-12.4 g/dL Hematocrit 35% Hemoglobin 11.9 g/dL White blood cell count 14.0 x 10uL 6 mo-2 y: 6.2-14.5 x 10uL IgG 153 mg/dL 1-3 y: 507-1,407 mg/dL IgM 576 mg/dL 1-3 y: 18-171 mg/dL IgA 11 mg/dL 1-3 y: 63-298 mg/dL IgD O mg/dL Newborn to adult: 0-8 mg/dL IgE 1 kIU/L 1-3 y: <90 klU/L Total protein 8.7 g/dL 1 y: 5.4-7.5 g/dL Albumin 3.8 g/dL 1-3 y: 3.4-4.2 g/dL Questions 1. Which immunoglobulin type(s) are abnormal in this patient's serum? 2. How do the laboratory results correlate with recurring bacterial infections? 3. How does isotype switching explain the lack of IgG, IgA, and IgE in this patient's serum?

CASE STUDY 11.2 Victoria and Rusty were worried about their infant Bailey since his first trip to the hospital at 3 weeks of age. At that time, he had a temperature of 103°F and a runny nose. The emergency department physician examined the infant, but determined the child was suffering from a common cold, probably brought home by his older siblings, and that all would be fine. Since then Bailey's health has not improved and he has experienced an unusual number of bacterial infections. The antibiotics that Bailey's pediatrician prescribed have cleared up the bacterial respiratory infections, but the infection seems to recur. Bailey is now back at the hospital with pneumonia and his physician has ordered a number of laboratory tests as he is now worried about Bailey's immune system. The studies show that Bailey has normal levels of B cells and T cells, with his immunoglobulin levels and hematology results listed in Case Study Table 11.2.1. CASE STUDY TABLE 11.2.1 Laboratory Results Test Result Reference Interval 6 mo-2 y: 30.9-37.0% 6 mo-2 y: 10.3-12.4 g/dL Hematocrit 35% Hemoglobin 11.9 g/dL White blood cell count 14.0 x 10uL 6 mo-2 y: 6.2-14.5 x 10uL IgG 153 mg/dL 1-3 y: 507-1,407 mg/dL IgM 576 mg/dL 1-3 y: 18-171 mg/dL IgA 11 mg/dL 1-3 y: 63-298 mg/dL IgD O mg/dL Newborn to adult: 0-8 mg/dL IgE 1 kIU/L 1-3 y: <90 klU/L Total protein 8.7 g/dL 1 y: 5.4-7.5 g/dL Albumin 3.8 g/dL 1-3 y: 3.4-4.2 g/dL Questions 1. Which immunoglobulin type(s) are abnormal in this patient's serum? 2. How do the laboratory results correlate with recurring bacterial infections? 3. How does isotype switching explain the lack of IgG, IgA, and IgE in this patient's serum?

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
See similar textbooks
icon
Related questions
Question
CASE STUDY 11.2 Victoria and Rusty were worried about their infant Bailey since his first trip to the hospital at 3 weeks of age. At that time, he had a temperature of 103°F and a runny nose. The emergency department physician examined the infant, but determined the child was suffering from a common cold, probably brought home by his older siblings, and that all would be fine. Since then Bailey's health has not improved and he has experienced an unusual number of bacterial infections. The antibiotics that Bailey's pediatrician prescribed have cleared up the bacterial respiratory infections, but the infection seems to recur. Bailey is now back at the hospital with pneumonia and his physician has ordered a number of laboratory tests as he is now worried about Bailey's immune system. The studies show that Bailey has normal levels of B cells and T cells, with his immunoglobulin levels and hematology results listed in Case Study Table 11.2.1. CASE STUDY TABLE 11.2.1 Laboratory Results Test Result Reference Interval 6 mo-2 y: 30.9-37.0%% 6 mo-2 y: 10.3-12.4 g/dL Hematocrit 35% Hemoglobin 11.9 g/dL 14.0 x 10uL 6 mo-2 y: 6.2-14.5 x 10/uL White blood cell count IgG 153 mg/dL 1-3 y: 507-1,407 mg/dL IgM 576 mg/dL 1-3 y: 18-171 mg/dL IgA 11 mg/dL 1-3 y: 63-298 mg/dL IgD O mg/dL Newborn to adult: 0-8 mg/dL IgE 1 kIU/L 1-3 y: <90 kIU/L Total protein 8.7 g/dL 1 y: 5.4-7.5 g/dL Albumin 3.8 g/dL 1-3 y: 3.4-4.2 g/dL Questions 1. Which immunoglobulin type(s) are abnormal in this patient's serum? How do the laboratory results correlate with recurring bacterial infections? 2. 3. How does isotype switching explain the lack of IgG, IgA, and IgE in this patient's serum?
Transcribed Image Text:CASE STUDY 11.2 Victoria and Rusty were worried about their infant Bailey since his first trip to the hospital at 3 weeks of age. At that time, he had a temperature of 103°F and a runny nose. The emergency department physician examined the infant, but determined the child was suffering from a common cold, probably brought home by his older siblings, and that all would be fine. Since then Bailey's health has not improved and he has experienced an unusual number of bacterial infections. The antibiotics that Bailey's pediatrician prescribed have cleared up the bacterial respiratory infections, but the infection seems to recur. Bailey is now back at the hospital with pneumonia and his physician has ordered a number of laboratory tests as he is now worried about Bailey's immune system. The studies show that Bailey has normal levels of B cells and T cells, with his immunoglobulin levels and hematology results listed in Case Study Table 11.2.1. CASE STUDY TABLE 11.2.1 Laboratory Results Test Result Reference Interval 6 mo-2 y: 30.9-37.0%% 6 mo-2 y: 10.3-12.4 g/dL Hematocrit 35% Hemoglobin 11.9 g/dL 14.0 x 10uL 6 mo-2 y: 6.2-14.5 x 10/uL White blood cell count IgG 153 mg/dL 1-3 y: 507-1,407 mg/dL IgM 576 mg/dL 1-3 y: 18-171 mg/dL IgA 11 mg/dL 1-3 y: 63-298 mg/dL IgD O mg/dL Newborn to adult: 0-8 mg/dL IgE 1 kIU/L 1-3 y: <90 kIU/L Total protein 8.7 g/dL 1 y: 5.4-7.5 g/dL Albumin 3.8 g/dL 1-3 y: 3.4-4.2 g/dL Questions 1. Which immunoglobulin type(s) are abnormal in this patient's serum? How do the laboratory results correlate with recurring bacterial infections? 2. 3. How does isotype switching explain the lack of IgG, IgA, and IgE in this patient's serum?
Expert Solution
trending now

Trending now

This is a popular solution!

steps

Step by step

Solved in 2 steps

SEE SOLUTIONCheck out a sample Q&A here
Blurred answer
Knowledge Booster
Musculoskeletal system
Learn more about
Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, nursing and related others by exploring similar questions and additional content below.
Similar questions
Recommended textbooks for you
Phlebotomy Essentials
Phlebotomy Essentials
Nursing
ISBN:
9781451194524
Author:
Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:
JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession…
Gould's Pathophysiology for the Health Profession…
Nursing
ISBN:
9780323414425
Author:
Robert J Hubert BS
Publisher:
Saunders
Fundamentals Of Nursing
Fundamentals Of Nursing
Nursing
ISBN:
9781496362179
Author:
Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher:
Wolters Kluwer,
Fundamentals of Nursing, 9e
Fundamentals of Nursing, 9e
Nursing
ISBN:
9780323327404
Author:
Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE
Publisher:
Elsevier Science
Study Guide for Gould's Pathophysiology for the H…
Study Guide for Gould's Pathophysiology for the H…
Nursing
ISBN:
9780323414142
Author:
Hubert BS, Robert J; VanMeter PhD, Karin C.
Publisher:
Saunders
Issues and Ethics in the Helping Professions (Min…
Issues and Ethics in the Helping Professions (Min…
Nursing
ISBN:
9781337406291
Author:
Gerald Corey, Marianne Schneider Corey, Cindy Corey
Publisher:
Cengage Learning
SEE MORE TEXTBOOKS