On-line Activity #9
BSC 1086C Human Anatomy & Physiology II
 
"Our Internal Armor"
 
 

    Activity 1:  Properties of Immunity

    Describe the essential characteristics of Immunity using the specific immune cells indicated.
     

      Specificity:  cytotoxic T cell 

      Versatility:  antibody

      Memory:  B cell

      Tolerance:  T cell

     

What do you need to do . . . . 
        E-mail your responses directly to Dr. Henry on or before midnight on Wednesday, March 24th.
 
Activity 2:  A Chink in the Armor --  Case studies in Immunity 
 
    Each student must selet two cases to diagnose. Include the following information in your report:
      What is your diagnosis?  Why?
      What further tests would you recommend?
      What is your recommended treatment?
      What has gone wrong in the immune system of this patient?
 

    Case 1:  Trevor’s "flu"

    A 30 year old man named Trevor goes to his doctor because he can’t seem to shake the flu. He explains that he has had fevers (102 degrees F) on and off for about 3 weeks. Many nights he wakes up drenched in sweat. He has had diarrhea on and off, as well. As a matter of fact, Trevor explains that he has been on a bland diet for 2 weeks and he still has diarrhea. He has lost 5 pounds since the whole episode has started. The doctor completes a physical exam an notes the following:
     
      Enlarged right inguinal and right axial lymph nodes:

        painless to the touch 
        rubbery feeling
        CBC ­ all values within normal range
         

    Case 2:  Cathy’s chronic infections

 
    A 28 year old, elementary school teacher named Cathy has moved to a new city due to her husband’s job transfer. She presents to the doctor complaining of a sore throat. She has had strep throat several times in the past year. Additionally, Cathy complains of chronic diarrhea, and she has swollen and tender lymph nodes. Cathy has lost 10 pounds in the past year without dieting. She is 5’4" and weighs 105 pounds. She tells the doctor that she has been under a lot of stress, as she has recently learned that her husband has been having extramarital affairs. They moved to start over in their marriage. The doctor completes a physical exam, including a throat culture and a CBC. The culture comes back positive for streptococcus and the blood work indicates the following abnormal values:
     
      Differential WBC count:
      Neutrophils 70%
      Lymphocytes 10%
      Immunoglobulin electrophoresis:
      IgA:  500 mg/dl
      IgG:  3000 mg/dl
       

    Case 3:  Susan’s planning to get pregnant

    Susan and her husband Bill go the their physician because they are planning to have a child. The doctor recommends that Susan begins to take pre-natal vitamins containing folic acid, which has been proven to decrease the incidence of spinal disorders in infants. Additionally, he asks Susan if she has had rubella or been immunized against it. Susan doesn’t remember having the disease. She does not have her immunization records and was not born in the United States. 

    Case 4:  Lyle’s lack of energy

    Lyle is a 40 year old, electrician. He has been very tired lately. He can’t seem to get enough energy up to go to work each day. When he comes home he eats and sleeps. His wife has been pushing his to see the doctor. Lyle’s body temperature is normal. The doctor orders a CBC. Results include the following:
    Hemoglobin ­ 12 g/dl
    Hematocrit ­ 35
    WBC count ­ 35,000/mm3
    Differential WBC count:
    Neutrophils:  48%
    Lymphocytes:  45%
    Monocytes:  4%
    Eosinophils: 2 %
    Basophils: 1%

    Case 5:  Ray’s kidney transplant

    Ray is a 40 year old man who’s kidney’s have failed.  He has been on dialysis for 4 years, waiting for a kidney donor.  He was adopted at birth and has no blood relatives.  How are compatible donor’s found?  Once found, how will Ray be treated to ensure that the transplant is not rejected?
 
What do you need to do . . . .
 
      Post  your reports on the  on or before midnight on Wednesday, March 24th.
 
 
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