Integumentary Case Study
Chief Complaint: 28-year-old woman admitted for first
and second degree burns following her rescue from being lost in the
Mojave Desert for 72 hours.
History: Rachel McElravy, a 28-year-old white
female, was transported by an air ambulance to the emergency room
after wandering in the desert for 72 hours. She was doing research
in a remote part of the Mojave Desert when, she got lost in her
vehicle and had forgotten to bring her cell phone with her that
day. When her fuel run out, she walked and walked believing she
could find her way out. During the day, shade temperatures exceeded
110°F degrees with humidity levels at just 5%. When found, she had
developed severe facial and arm burns and was severely dehydrated.
Rachel’s core temperature was 101°F but she wasn’t
sweating!
In the hospital, Rachel was barley conscious,
weak, nauseated, suffering from headaches and had low blood
pressure of about 65/45. After administration of intravenous fluids
both in the ambulance and hospital, her vital signs
stabilized.
The next day Rachel had almost no pain on her
face and arms and couldn’t feel feather light touches to her burnt
face. This lasted for a few days. After further treatment of
antibiotics and surgery, Rachel was able to leave the hospital. She
possessed minor scars where she had been burnt. Slowly her
sensation of pain and touch returned to her skin.
Questions:
1. What
vitamin would Rachel have produced in greater quantity from her
ordeal?
2. What
condition did Rachel develop that lead her to not sweat despite the
elevated temperature?
3. Why was it
necessary to administer fluids to Rachel and what osmolarity did
they most likely administer?
4. Describe
her most likely distinct abnormal skin colouration of her face and
hands when they found (using technical terminology) Rachel in the
desert?
5. What
happened to cause Rachel to temporarily lose her sense of light
touch and pain within the burnt parts of her body? Which
cell/structures were affected in this loss?
6. What is
the difference between scar tissue and normal skin tissue? Why
where her scars minor.
7. Briefly
describe the two major layers that make up healthy skin?
8. What are
first-degree burns and second-degree burns? How many epidermal
strata did she lose in the areas of second degree burns.
9. Name four
cells associated with the skin and the injury that would be active
during her recovery process, include their functions.
In: Anatomy and Physiology
Answer parts A-D to receive full credit for number 1:
A. Which of the following is most accurate concerning the external ear?
The auricle is designed to sort waves by frequency before they reaching the external acoustic means
The external acoustic meatus direct sound waves towards the oval window
The external acoustic meatus lacks glands but has thick hairs that serve to protect the ear
The external acoustic meatus serves as a barrier to airborne particles
The tympanic membrane serves as the boundary between the external ear and middle ear
B. Which one is found in the inner ear:
Acoustic mucus
Eustachian tube
Ossicles
Scala vestibuli
Tympanic membrane
C. Which of the following do preganglionic axons of the ANNS release?
Acetylcholine
Dopamine
Epinephrine
Norepinephrine
Serotonin
D. The muscles that regulate the passage of light into the eye are found in _____
Cornea
Lens
Iris
Pupil
Retina
In: Anatomy and Physiology
1. The colder the body becomes, the less able the hypothalamus is to control thermoregulation mechanisms.
Select one:
a)True
B)False
2. What exercise guidelines apply to pregnant women? Select all that apply.
Select one or more:
a. Pregnant woman should focus on hydration and avoid exercising in hot environments.
b. During the first trimester, exercise can start at 15 minutes per day, 3 days per week, or as comfort and symptoms dictate.
c. Pregnant women should perform repetitive exercise that target all major muscle groups (ex. walking or swimming).
d. Pregnant women who were sedentary before pregnancy, should not start exercising for the first time during pregnancy.
e. Pregnant women should avoid strength training during pregnancy.
3. Which of the following statements are true about strength training recommendations for children? Select all that apply.
Select one or more:
a. Before puberty, children should focus on sport-specific resistance exercises.
b. Trainers should focus on technique first by starting out with low resistance.
c. Training volume should be kept low.
d. Due to health risks, children under twelve should avoid all forms of strength training.
4)Is it possible for prepubescent children to increase strength during an exercise program even if they do not increase muscle mass?
Select one:
a. Males can, but females cannot.
b. Yes
c. No
In: Anatomy and Physiology
Explain the integrated sympathoadrenal response to exercise.
In: Anatomy and Physiology
Which of the following characteristics best determines the composition of the initial filtrate produced in the nephron?
Group of answer choices
All molecules freely enter the nephron
Only wastes enter the nephron
Only small molecules enter the nephron
Only water enters the nephron
Only large molecules enter the nephron
In: Anatomy and Physiology
Q1: How are the various fields of public health interdependent?
Q2: How does the study of public health microbiology and medical microbiology differ?
In: Anatomy and Physiology
describe the pathway of blood in the pulmonary and systemic circuit system
In: Anatomy and Physiology
Which of the following is found in the thoracic cavity?
Hepatic Portal Vein |
||
Renal arteries |
||
Superior Mesenteric vein |
||
Celiac Trunk |
||
Azygos vein |
The Radial and Ulnar veins join to create the.....
Brachial vein |
||
Cephalic vein |
||
Basilic vein |
||
Axillary artery |
||
None of these |
Cardiac veins direct blood into the.....
Coronary sinus |
||
Right coronary artery |
||
Left Atrium |
||
Aorta |
||
Papillary muscles |
In: Anatomy and Physiology
1). Distinguish between the central nervous system (CNS) and the peripheral nervous system (PNS) and give a general function for each.
2). What is another name for the visceral motor nervous system? What are the two (2) subdivisions of this system?
3). Explain the difference between a sensory neuron, a motor neuron & an interneuron.
4) What is the functional difference between a dendrite & an axon?
In: Anatomy and Physiology
Information on Nerve tissue if it can be 250 words that would be great.
In: Anatomy and Physiology
type I diabetes mellitus results when auto-reactive t cells insulin-producing beta cells in the pancreas. Describe the mechanisms, both central and peripheral, that would normally prevent these self-reactive cells from attacking the host cells.
In: Anatomy and Physiology
describe the following process of the digestive system, the digestion and absorption of amino acids
In: Anatomy and Physiology
In: Anatomy and Physiology
Articulation case study:
Sam, now a 6 year old male was recently adopted from Vietnam. He was born with a bilateral complete cleft lip and palate. The cleft lip was repaired in Vietnam, but the cleft palate was left unrepaired. Due to the cleft palate, he has velopharyngeal dysfunction i.e. his velum does not retract and meet the posterior pharyngeal wall to close off the nasal cavity.
1. Which anatomical structures are missing/affected in a complete bilateral cleft palate?
2. Which anatomical structures are missing/affected in a complete bilateral cleft lip?
3. How do you think Sam sounds i.e. what is his vocal quality? Why? Hint: Think about how the velopharyngeal insufficiency is affecting his overall articulation.
4. Despite his velopharyngeal insufficiency, there are certain phonemes of the English language that he can produce effectively. What are those phonemes?
5. What affects might Sam’s cleft palate have on swallowing? (2) Please answer all 5 questions
In: Anatomy and Physiology
Which of the following enzymes are stimulated to support the use of fat (lipids) to fuel ATP synthesis during exercise.
In: Anatomy and Physiology