Anatomy & Physiology
Anatomy & Physiology
5th Edition
ISBN: 9780321861580
Author: Marieb, Elaine N.
Publisher: Pearson College Div
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Chapter 19, Problem 3CCS
Summary Introduction

Case summary:

The given case is of Mr. Hutchinson, who was another victim of collision and was admitted to the hospital. His routine complete blood count revealed low levels of total leukocyte and lymphocytes. He complained of pain in his right ring finger. On examination, it was found that the right ring finger and the dorsum are edematous and red streaks radiated on his right forearm.

Characters in the case:

Mr. Hutchinson, nurse, and doctor.

Adequate information:

Pain in the right ring finger.

To determine:

The correlation among the lymphocyte count, mega doses of antibiotics, and orders for additional protection.

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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.   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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