Anatomy & Physiology
Anatomy & Physiology
5th Edition
ISBN: 9780321861580
Author: Marieb, Elaine N.
Publisher: Pearson College Div
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Chapter 14, Problem 1CCS

10-Year-Old Boy with Spinal Injury

On arrival at Holyoke Hospital, Jimmy Chin, a 10–year-old boy, is immobilized on a rigid stretcher so that he is unable to move his head or trunk. The paramedics report that he was awake and alert after his accident at the skateboard park, but crying and complaining that he couldn't get up and that he had a “wicked headache." He has severe bruises on his upper back and head, and lacerations of his back and scalp. His blood pressure is low, body temperature is below normal, lower limbs are paralyzed, and he is insensitive to painful stimuli below the nipples. Although still alert on arrival, Jimmy soon begins to drift in and out of unconsciousness.

Chapter 14, Problem 1CCS, 10-Year-Old Boy with Spinal Injury On arrival at Holyoke Hospital, Jimmy Chin, a 10year-old boy, is

Jimmy is immediately scheduled for a CT scan, and an operating room is reserved.

Relative to Jimmy's condition:

1. Why were his head and torso immobilized for transport to the hospital?

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Spinal Cord It had been a busy week for Amanda. She had taken three exams, and as if that wasn't stressful enough, her sister was ill and Amanda had to spend much of her time helping out at home. By the end of the week, Amanda decided to go to the beach for a walk and some genuine relaxation. The day was warm and Amanda took off her shoes so she could walk barefoot and feel the sand between her toes. Halfway down the beach, she stepped on something extremely sharp and withdrew her foot in pain. As Amanda hopped around the sand on one foot, rubbing the other to ease the pain, she decided to put her shoes back on. As Amanda stepped on something sharp, she withdrew her foot due to reflexes. Any pain experienced would have been just AFTER she moved her foot off of the sharp object. Why is there a delay in perceiving the pain sensation?
Spinal Cord It had been a busy week for Amanda. She had taken three exams, and as if that wasn't stressful enough, her sister was ill and Amanda had to spend much of her time helping out at home. By the end of the week, Amanda decided to go to the beach for a walk and some genuine relaxation. The day was warm and Amanda took off her shoes so she could walk barefoot and feel the sand between her toes. Halfway down the beach, she stepped on something extremely sharp and withdrew her foot in pain. As Amanda hopped around the sand on one foot, rubbing the other to ease the pain, she decided to put her shoes back on. Regarding the reflex that moved her injured foot, classify it according to the complexity of the circuit.
A Case of Spinal Cord Injury Jason is a 21 year old senior at the University of South Africa, majoring in economics. While on spring break in Johannesburg, Jason was involved in a motorcycle accident. In the accident he was thrown from his pike to the pavement, landing on his back. A police officer witnessed the accident and immediately called for medical assistance. Emergency personnel arrived within minutes, and upon recognizing the seriousness of Jason's back injury, immobilized his neck and secured him to a rigid board prior to transporting him to the emergency room of the nearest hospital. When he arrived at the hospital, Jason was conscious and complained of pain in his lower back. Upon examination by the emergency room personnel, Jason was found to have numerous abrasions and contusions, and loss of both sensation and motor control of his legs. After he was stabilized, a complete neurological exam was performed to assess and localize Jason's injury. The neurological exam…
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