EBK HUMAN ANAT.+PHYSIOLOGY
11th Edition
ISBN: 9780134807362
Author: Marieb
Publisher: PEARSON CO
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Chapter 21, Problem 2CCS
52-Year-Old Male with Multiple Sclerosis
Mr. Ayers was diagnosed with an aggressive form of multiple sclerosis 18 years ago. His illness has not responded to conventional treatments so he's been referred to your clinic for a clinical trial.
The doctor explains that his treatment will involve giving Mr. Ayers a drug that will release stem cells from his bone marrow so they can be collected from his blood. Then Mr. Ayers will be given (1) drugs that will destroy the blood-forming cells in his bone marrow, and (2), antibodies against his T lymphocytes. Finally, the stem cells that were collected from him will be used to repopulate his bone marrow.
The doctor says, “This treatment avoids problems, such as transplant rejection, that are associated with other kinds of transplants.”
2. One reason for using Mr. Ayers's own tissue is that it can be very difficult to find a donor whose bone marrow cells match the patient's class I and II MHC proteins. What is an MHC protein? What is the difference between class I and class II MHC proteins?
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Postoperative Diagnosis: Combination horizontal cleavage tear/flap tear, posterior horn, medial meniscus, left knee.
Operation: Arthroscopic subtotal medial meniscectomy, left knee
Anesthetic: General endotracheal
Description of Procedure: The patient was placed on the operating table in the supine position and general endotracheal anesthesia was administered. After an adequate level of anesthesia was achieved, the patient's left lower extremity was prepped with Betadine scrubbing solution, then draped in a sterile manner. Several sites were then infiltrated with 1% Xylocaine solution with Epinephrine to help control bleeding from stab wounds to be made at these sites. These stab wounds were made anterolaterally at the level of the superior pole of the patella for insertion of an irrigation catheter into the suprapatellar pouch area, anterolaterally at the level of the joint line for insertion of the scope and anteromedially at…
Chapter 21 Solutions
EBK HUMAN ANAT.+PHYSIOLOGY
Ch. 21 - Prob. 1RQCh. 21 - 2. The process by which neutrophils squeeze...Ch. 21 - 3. Antibodies released by plasma cells are...Ch. 21 - 5. Which antibody class is abundant in body...Ch. 21 - Prob. 5RQCh. 21 - Prob. 6RQCh. 21 - Prob. 7RQCh. 21 - Prob. 8RQCh. 21 - 9. Complement activation promotes all of the...Ch. 21 - 10. The cell type most often invaded by HIV is...
Ch. 21 - Prob. 10RQCh. 21 - 13. Besides acting as mechanical barriers, the...Ch. 21 - 15. What is complement? How does it cause...Ch. 21 - Prob. 15RQCh. 21 - Prob. 24RQCh. 21 - Prob. 25RQCh. 21 - Prob. 16RQCh. 21 - Prob. 17RQCh. 21 - Prob. 18RQCh. 21 - Prob. 12RQCh. 21 - 24. How do antibodies help defend the body?
Ch. 21 - Prob. 20RQCh. 21 - Prob. 21RQCh. 21 - Prob. 22RQCh. 21 - Prob. 23RQCh. 21 - 1. Isabella, a 6-year-old child who has been...Ch. 21 - Prob. 27RQCh. 21 - Prob. 28RQCh. 21 - 52-Year-Old Male with Multiple Sclerosis Mr. Ayers...Ch. 21 - 52-Year-Old Male with Multiple Sclerosis Mr. Ayers...Ch. 21 - 52-Year-Old Male with Multiple Sclerosis Mr. Ayers...Ch. 21 - 52-Year-Old Male with Multiple Sclerosis
Mr....
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