Case Study 1
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University of Southern Mississippi *
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Biology
Date
May 10, 2024
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docx
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Jonai Raymond BSC 250L
Mr. Bryan
February 29, 2024
Case Study 1.
The human skin consists of three main layers, epidermis: The outermost layer, containing
the stratum corneum, which acts as the primary protective barrier, dermis: A fibrous layer
beneath the epidermis that provides support and strength, (Subcutis) Hypodermis: The deepest layer, composed of fat that cushions and insulates the body. Thick skin is found in areas with high friction, such as the palms of hands and soles of feet. It has an additional layer called the stratum lucidum between the epidermis and dermis. Joey’s burns are on his upper torso, which typically has thin skin. Therefore, he did not burn thick skin. Since Joey’s burns are not painful, they likely affect the epidermis and possibly the upper dermis. Lack of pain suggests a third-degree burn because deeper burns involving nerve endings would be more painful.
OpenStax. (1999). 5.1 Layers of the Skin. Ecampusontario.pressbooks.pub
. https://ecampusontario.pressbooks.pub/humananatomyandphysiology/chapter/5-1-layers-
of-the-skin/
Lab Manual: Human Anatomy &Physiology I Lab
2.
There are four accessory structures present in the skin. One of them is hair follicles. These produce hair and are essential for thermoregulation and sensory perception. The sebaceous glands secrete sebum (oil) to moisturize the skin and hair. Sweat glands are
responsible for temperature regulation and waste elimination. Lastly, the nails protect the fingertips and enhance fine motor skills. Long-term effects on Joey’s accessory structures
can include, burned hair follicles which may lead to permanent hair loss, reduced sebum production could cause dry skin, impaired sweating may affect temperature regulation, and nail growth might be affected due to damage to the nail matrix. The antibiotics were prescribed to prevent infection in the damaged skin and graft site. Joey’s recovery will depend on proper wound care and monitoring. The lack of pain does not necessarily indicate severity; it’s crucial to assess the extent of tissue damage and healing progress. Chruścik, A., Kauter, K., Windus, L., & Whiteside, E. (2021). 4.2 Accessory Structures of the Skin. Usq.pressbooks.pub
. https://usq.pressbooks.pub/anatomy/chapter/4-2-accessory-
structures-of-the-skin/#:~:text=Accessory%20structures%20of%20the%20skin
%20include%20hair%2C%20nails%2C
Lab Manual: Human Anatomy &Physiology I Lab 3.
Melanin is the key player responsible for skin pigmentation. It’s produced by specialized cells called melanocytes. These melanocytes reside in the epidermal layer of the skin. When melanocytes are healthy and functional, they synthesize melanin and distribute it to
nearby skin cells. This melanin provides color to the skin, hair, and eyes. In Livie’s case, vitiligo causes the destruction or dysfunction of melanocytes in certain areas, leading to depigmentation. The white patches she experiences result from the absence of melanin in those regions. Melanin serves as a natural sunscreen. It absorbs and dissipates harmful ultraviolet (UV) radiation from the sun, protecting the skin. In areas affected by vitiligo (where melanin is lacking), the skin becomes more sensitive to UV exposure. Without
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Related Questions
L.H. is a 55 year old male patient that has come into your clinic. L.H. has worked in construction for 15 years and is complaining of a red, itchy, dry rash that has formed on his arms and hands. Lately, his job is working to lay cement which means he is outside most of the time. The rash is often itchy and painful, which prevents him from performing his duties to his best ability and he is worried about continuing to work. Additionally, it has impacted his ability to play golf, a hobby that he enjoys in his spare time.LH has tried wearing work gloves, but due to the nature of the job he is unable to wear them the entire time. He’s also tried different creams, but that had little effect.
Come up with 5 follow up questions you could ask L.H. to further determine the appropriate skin condition?
Comprehension. Discuss the current treatment options for the disease or disorder chosen in question 1.
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CW7 Due 3/1 X
C Chapter 5: In x
M Inbox (3,574) X
M Inbox (244)
M Midterm ma X
b Search result x
G how to scree
+
https://peralta.instructure.com/courses/39459/quizzes/131066
B
MERRITT
|COLLEGE
Account
Dashboard
Courses
Skin Drawing 1
Calendar
Using Skin Drawing 1, match the tissue types on the right
column to the lettered regions in the left column:
Inbox
A
keratinized stra
History
В
dense irregular
Studio
C
areolar connect
Starfish
D
Help
reticular conne
3:58 PM
O Type here to search
ENG
3/22/2021
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Risk for impaired skin integrity related to mechanical factors and impaired physical
mobility, write 3 smart goals
arrow_forward
3:41
Back
Burns Case Study.docx
Burn Case Study
Scenario
You are working the day shift on the medical-surgical
unit in a small rural community hospital. Your
assignment includes an 18-year-old woman, A.N.,
admitted the previous night. A.N. was caught in a
house fire and sustained burns over 30% of her body
surface area, with partial-thickness burns on her legs
and back.
1. A.N. is undergoing burn fluid resuscitation using the
standard Baxter (Parkland) formula. She was burned at
0200 and admitted at 0400. She weighs 110 pounds.
Calculate her fluid requirements, specify the fluids
used in the Baxter (Parkland) formula, specify how
much will be given, and indicate what time intervals
will be used.
2. A.N. was sleeping when the fire started and
managed to make her way out of the house through
thick smoke. You are concerned about possible smoke
inhalation. What assessment findings would
corroborate this concern?
3. A.N. is concerned about visible scars. What will you
tell her to allay her…
arrow_forward
I.
Think AbouT iT
How do each of the following organ systems interact with the blood to maintain homeostasis
in the body?
1. Integumentary system:
2. Skeletal system:
3. Nervous system:
4. Endocrine system:
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Nursing question [3.
make table to differentiate ITP, TTP, HIT, DIC.
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TRUE OR FALSE
1. Since a tattoo is a pigment considered as an intracellular accumulation, it is absolutely toxic
2. Even if the cell is intact, there can be an irreversible cell injury if the nucleus is affected
3. There is excessive accumulation of substances in a tissue if you will not only be able to observe them intracellularly but also extracellularly
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ts/850639/take/6/
MULTIPLE CHOICE
Question 6
In what way do the bones of the skeletal system relate to the immune
system?
A
B
C
D
The immune system releases osteoclasts that break down damaged
bone.
Red blood cells produced in the yellow marrow activate the body's
defenses.
Red marrow in the bones produces white blood cells that fight
infection.
The immune system controls the density of spongy bone.
0
6 0 0 0 0 0 0 0 0 0 0 0 0
12 ☆ 5
All Changes Saved
Continu
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174. An 8-year-old girl is brought to the physician because of an 8-year history of stretchy skin. She is at the 50th percentile for height and weight. Physical examination shows smooth
skin that is velvety to the touch, extends easily, and snaps back after release. There are multiple thin, stretched scars over the forehead, elbows, knees, and shins. Range-of-
motion testing shows hypermobility of the hand and knee joints. Her mother has similar findings. Genetic testing of the patient's lymphocytes shows a 16-nucleotidé deletion in a
collagen 5A1 (COL5A1) allele. The mRNA product of COL5A1 in both the nucleus and cytoplasm is assessed in cultured skin fibroblasts. Results show a 50% level of mutated
mRNA in the nucleus and 0% level of mutated mRNA in the cytoplasm. Based on these findings, which of the following disease mechanisms is most likely in this patient?
A) Alternate splice site created
B) Decreased stability of mRNA
C) Increased translation
D) Increased ubiquitination of…
arrow_forward
Can you please provide answers to these questions? Just to review
1. Explain the process by which epithelial cells get their nourishment?
2. Why is intact skin necessary for protection?
3. Explain the development of epithelial cell tumors? Give their classification.
4. What are warts? Indicate the causes of their appearance in the skin.
5. Differentiate the following disorders/conditions.
a.1. Keloid
a.2. Malignant Melanoma
a.3. Epidermolysis bullosa
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write a terminology in column B which meets the description of column A
COLUMN A
COLUMN B
1. Cointaining the protein Keratin
2. A stem cell that can give rise to another blood cells
3. Acell the enguifs foreign microscopic particles to initiate immune responses
4. Layered cells in a tissue
5. Belonging to glands with ducts
6. Glands that are ductless
7. The outermost connective tissue in body surfaces and surfaces of internal organs
8. Characterized by a fine network of fibres.
9. Epithelium that appears to be stratified, with all the cells connected to the basement membrane
10. Ability to break down protein
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CASE 1
Case r/t Hair, Skin, and Nails examination
Ms. Aquino is 30-year-old woman who works as a receptionist for a prestigious office in Makati. She
visits the nurse at their office and reports she recently went to see their family doctor because "my
hair was falling out in chunks, and I have a red rash on my face and chest. It looks like a bad case of
acne." She says she has come to see the nurse because she feels "so ugly" and she is starting to get
worried that she may lose her job because of how she looks.
a. How would you assess the patient's integumentary system?
b. Document a brief exam on skin, hair, and nails of this patient.
CASE 2
Case r/t Head and Neck examination
Ms. Gonzaga visits the outpatient center and tells the nurse that she wants to "stay healthy." The
nurse observes that the client has diffuse neck enlargement, is perspiring, and is quite fidgety. The
client tells the nurse that she is "hungry all the time, but I have lost weight."
a. How did the nurse assessed…
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Mrs. Jones is a 69-year-old wheelchair-bound and bed-bound resident who spends her days laying in bed or up in a chair.
Q1 - Please provide two risk factors and their consequences specific to this resident as they relate to the integumentary system and the musculoskeletal system. Normal changes of aging will not be sufficient. Risk factors should address her described condition. Address at least two risk factors and two consequences for each body system, meaning there should be 8 items total.
Q2 - As a nurse aide, what types of care would you expect to see in Mrs. Jones’ care plan? Consider the body systems you just addressed.
Q3 - Define both atrophy and contracture and state the difference between them.
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6:02
.ull
a docs.google.com
A
* elastic cartilage contain
• Elastic fibers
• Collagen fibers
• Both of elastic and collagen fibers
* anemia is
• Deficiency of erethrocyte
• Increase of leukocyte O
• Deficiency of platelets
thrombocytopenia is deficiency of
• Platelets
• Red blood cells
• White blood cells
hyaline cartilage is covered by its own
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TRUE OR FALSE
1. Atrophy is better observed or identified in a macroscopic examination of a tissue, organ or any part of the body
2. Metaplasia is the cellular adaptation most associated with cancer.
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how much asbestos exposure does it take to develop an asbestos related disease?
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19- Why sarcoma has the potential to spread faster than carcinoma.
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7849/variants/881590/take/13/
awered
Match each description with the associated skin disorder.
NO
infection of the sebaceous gland
caused by a blocked duct
blue tint to the skin caused by lack of
oxygen
overgrowth of adipose tissue in the
hypodermis
raised bumps on the skin caused by an
allergic reaction
autoimmune response that destroys
melanocytes, causing pale spots on the
outbreak of the HSV virus around the
mouth or nose
●00
a.
d.
cyanosis
lipoma
cold sores
e. urticaria
f. vitiligo
Q 12 ☆
All Changes Jared.
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T-Mobile LTE
e 6:01 PM
O 41% O
A browardschools.instructure.com
Question 1
1 pts
Basal cell carcinoma, squamous cell
carcinoma and melanoma are all
types of skin cancer. The primary
cause of these types of cancer is
excessive sun exposure.
Skin Cancer Characteristics
What effect does the sun have on
the skin to cause cancer?
O Sunburn removes the upper
layers of the skin.
Chemicals from the sun change
the skin cells.
The heat from the sun
interrupts the cell cycle.
The sun's rays cause mutations
in the skin cells.
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A-
B
↑ ↑
C-
An image of a hematocrit blood test is shown. Indicate which layer refers to the buffy
coat.
A
B
Ос
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Easiest symptoms to diagnose carcinoma?
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Related Questions
- L.H. is a 55 year old male patient that has come into your clinic. L.H. has worked in construction for 15 years and is complaining of a red, itchy, dry rash that has formed on his arms and hands. Lately, his job is working to lay cement which means he is outside most of the time. The rash is often itchy and painful, which prevents him from performing his duties to his best ability and he is worried about continuing to work. Additionally, it has impacted his ability to play golf, a hobby that he enjoys in his spare time.LH has tried wearing work gloves, but due to the nature of the job he is unable to wear them the entire time. He’s also tried different creams, but that had little effect. Come up with 5 follow up questions you could ask L.H. to further determine the appropriate skin condition? Comprehension. Discuss the current treatment options for the disease or disorder chosen in question 1.arrow_forwardCW7 Due 3/1 X C Chapter 5: In x M Inbox (3,574) X M Inbox (244) M Midterm ma X b Search result x G how to scree + https://peralta.instructure.com/courses/39459/quizzes/131066 B MERRITT |COLLEGE Account Dashboard Courses Skin Drawing 1 Calendar Using Skin Drawing 1, match the tissue types on the right column to the lettered regions in the left column: Inbox A keratinized stra History В dense irregular Studio C areolar connect Starfish D Help reticular conne 3:58 PM O Type here to search ENG 3/22/2021arrow_forwardRisk for impaired skin integrity related to mechanical factors and impaired physical mobility, write 3 smart goalsarrow_forward
- 3:41 Back Burns Case Study.docx Burn Case Study Scenario You are working the day shift on the medical-surgical unit in a small rural community hospital. Your assignment includes an 18-year-old woman, A.N., admitted the previous night. A.N. was caught in a house fire and sustained burns over 30% of her body surface area, with partial-thickness burns on her legs and back. 1. A.N. is undergoing burn fluid resuscitation using the standard Baxter (Parkland) formula. She was burned at 0200 and admitted at 0400. She weighs 110 pounds. Calculate her fluid requirements, specify the fluids used in the Baxter (Parkland) formula, specify how much will be given, and indicate what time intervals will be used. 2. A.N. was sleeping when the fire started and managed to make her way out of the house through thick smoke. You are concerned about possible smoke inhalation. What assessment findings would corroborate this concern? 3. A.N. is concerned about visible scars. What will you tell her to allay her…arrow_forwardI. Think AbouT iT How do each of the following organ systems interact with the blood to maintain homeostasis in the body? 1. Integumentary system: 2. Skeletal system: 3. Nervous system: 4. Endocrine system:arrow_forwardNursing question [3. make table to differentiate ITP, TTP, HIT, DIC.arrow_forward
- TRUE OR FALSE 1. Since a tattoo is a pigment considered as an intracellular accumulation, it is absolutely toxic 2. Even if the cell is intact, there can be an irreversible cell injury if the nucleus is affected 3. There is excessive accumulation of substances in a tissue if you will not only be able to observe them intracellularly but also extracellularlyarrow_forwardts/850639/take/6/ MULTIPLE CHOICE Question 6 In what way do the bones of the skeletal system relate to the immune system? A B C D The immune system releases osteoclasts that break down damaged bone. Red blood cells produced in the yellow marrow activate the body's defenses. Red marrow in the bones produces white blood cells that fight infection. The immune system controls the density of spongy bone. 0 6 0 0 0 0 0 0 0 0 0 0 0 0 12 ☆ 5 All Changes Saved Continuarrow_forward174. An 8-year-old girl is brought to the physician because of an 8-year history of stretchy skin. She is at the 50th percentile for height and weight. Physical examination shows smooth skin that is velvety to the touch, extends easily, and snaps back after release. There are multiple thin, stretched scars over the forehead, elbows, knees, and shins. Range-of- motion testing shows hypermobility of the hand and knee joints. Her mother has similar findings. Genetic testing of the patient's lymphocytes shows a 16-nucleotidé deletion in a collagen 5A1 (COL5A1) allele. The mRNA product of COL5A1 in both the nucleus and cytoplasm is assessed in cultured skin fibroblasts. Results show a 50% level of mutated mRNA in the nucleus and 0% level of mutated mRNA in the cytoplasm. Based on these findings, which of the following disease mechanisms is most likely in this patient? A) Alternate splice site created B) Decreased stability of mRNA C) Increased translation D) Increased ubiquitination of…arrow_forward
- Can you please provide answers to these questions? Just to review 1. Explain the process by which epithelial cells get their nourishment? 2. Why is intact skin necessary for protection? 3. Explain the development of epithelial cell tumors? Give their classification. 4. What are warts? Indicate the causes of their appearance in the skin. 5. Differentiate the following disorders/conditions. a.1. Keloid a.2. Malignant Melanoma a.3. Epidermolysis bullosaarrow_forwardwrite a terminology in column B which meets the description of column A COLUMN A COLUMN B 1. Cointaining the protein Keratin 2. A stem cell that can give rise to another blood cells 3. Acell the enguifs foreign microscopic particles to initiate immune responses 4. Layered cells in a tissue 5. Belonging to glands with ducts 6. Glands that are ductless 7. The outermost connective tissue in body surfaces and surfaces of internal organs 8. Characterized by a fine network of fibres. 9. Epithelium that appears to be stratified, with all the cells connected to the basement membrane 10. Ability to break down proteinarrow_forwardCASE 1 Case r/t Hair, Skin, and Nails examination Ms. Aquino is 30-year-old woman who works as a receptionist for a prestigious office in Makati. She visits the nurse at their office and reports she recently went to see their family doctor because "my hair was falling out in chunks, and I have a red rash on my face and chest. It looks like a bad case of acne." She says she has come to see the nurse because she feels "so ugly" and she is starting to get worried that she may lose her job because of how she looks. a. How would you assess the patient's integumentary system? b. Document a brief exam on skin, hair, and nails of this patient. CASE 2 Case r/t Head and Neck examination Ms. Gonzaga visits the outpatient center and tells the nurse that she wants to "stay healthy." The nurse observes that the client has diffuse neck enlargement, is perspiring, and is quite fidgety. The client tells the nurse that she is "hungry all the time, but I have lost weight." a. How did the nurse assessed…arrow_forward
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