Anatomy & Physiology
Anatomy & Physiology
5th Edition
ISBN: 9780321861580
Author: Marieb, Elaine N.
Publisher: Pearson College Div
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Chapter 19, Problem 4CCS
Summary Introduction

Case summary:

Mr. Hutchinson complained of pain in his right ring finger and on examination; it was found that the affected finger and the dorsum of the right hand were edematous and red streaks emanated on his right arm. These red streaks are an indicator of hospital-acquired infection, which he might have developed after the surgery.

Characters in the case:

Mr. Hutchinson, nurse, and doctor.

Adequate information:

Pain in the right ring finger.

To determine:

The prediction of Mr. Hutchinson recovery as uneventful or problematic.

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Select the best answer or answers from the choices given: Entry of lymph into the lymphatic capillaries is promoted by which of the following? (a) one-way minivalves formed by overlapping endothelial cells, (b) the respiratory pump, (c) the skeletal muscle pump, (d) greater fluid pressure in the interstitial space.
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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