Anatomy & Physiology (6th Edition)
6th Edition
ISBN: 9780134156415
Author: Elaine N. Marieb, Katja N. Hoehn
Publisher: PEARSON
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Chapter 14, Problem 2CCS
10-Year-Old Boy with Spinal Injury
On arrival at Holyoke Hospital, Jimmy Chin, a 10–year-old boy, is immobilized on a rigid stretcher so that he is unable to move his head or trunk. The paramedics report that he was awake and alert after his accident at the skateboard park, but crying and complaining that he couldn't get up and that he had a “wicked headache." He has severe bruises on his upper back and head, and lacerations of his back and scalp. His blood pressure is low, body temperature is below normal, lower limbs are paralyzed, and he is insensitive to painful stimuli below the nipples. Although still alert on arrival, Jimmy soon begins to drift in and out of unconsciousness.
Jimmy is immediately scheduled for a CT scan, and an operating room is reserved.
Relative to Jimmy's condition:
2. What do his worsening neurological signs (drowsiness, incoherence, etc.) probably indicate? Relate this to the type of surgery that will be performed.
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Spinal Cord
It had been a busy week for Amanda. She had taken three exams, and as if that wasn't stressful enough, her sister was ill and Amanda had to spend much of her time helping out at home. By the end of the week, Amanda decided to go to the beach for a walk and some genuine relaxation. The day was warm and Amanda took off her shoes so she could walk barefoot and feel the sand between her toes. Halfway down the beach, she stepped on something extremely sharp and withdrew her foot in pain. As Amanda hopped around the sand on one foot, rubbing the other to ease the pain, she decided to put her shoes back on.
What type of reflex is responsible for the uninjured leg going into full extension so she can balance on one foot?
Spinal Cord
It had been a busy week for Amanda. She had taken three exams, and as if that wasn't stressful enough, her sister was ill and Amanda had to spend much of her time helping out at home. By the end of the week, Amanda decided to go to the beach for a walk and some genuine relaxation. The day was warm and Amanda took off her shoes so she could walk barefoot and feel the sand between her toes. Halfway down the beach, she stepped on something extremely sharp and withdrew her foot in pain. As Amanda hopped around the sand on one foot, rubbing the other to ease the pain, she decided to put her shoes back on.
Regarding the reflex that moved her injured foot, classify it according to the complexity of the circuit.
A Case of Spinal Cord Injury
Jason is a 21 year old senior at the University of South Africa, majoring in economics. While on spring
break in Johannesburg, Jason was involved in a motorcycle accident. In the accident he was thrown from
his pike to the pavement, landing on his back. A police officer witnessed the accident and immediately
called for medical assistance. Emergency personnel arrived within minutes, and upon recognizing the
seriousness of Jason's back injury, immobilized his neck and secured him to a rigid board prior to
transporting him to the emergency room of the nearest hospital.
When he arrived at the hospital, Jason was conscious and complained of pain in his lower back. Upon
examination by the emergency room personnel, Jason was found to have numerous abrasions and
contusions, and loss of both sensation and motor control of his legs. After he was stabilized, a complete
neurological exam was performed to assess and localize Jason's injury. The neurological exam…
Chapter 14 Solutions
Anatomy & Physiology (6th Edition)
Ch. 14.1 - Name the three types of effectors of the autonomic...Ch. 14.1 - Which relays instructions from the CNS to muscles...Ch. 14.1 - MAKING CONNECTIONS The cell bodies of autonomic...Ch. 14.2 - Which branch of the ANS would predominate if you...Ch. 14.3 - In general terms, where are the cell bodies of...Ch. 14.4 - Prob. 6CYUCh. 14.5 - Prob. 7CYUCh. 14.6 - Prob. 8CYUCh. 14.7 - Prob. 9CYUCh. 14.8 - Prob. 10CYU
Ch. 14.9 - Prob. 11CYUCh. 14 - All of the following characterize the ANS except...Ch. 14 - Relate each of the following terms or phrases to...Ch. 14 - The white rami communicates contain what kind of...Ch. 14 - Collateral sympathetic ganglia are involved with...Ch. 14 - Briefly explain why the following terms are...Ch. 14 - Describe the anatomical relationship of the white...Ch. 14 - Prob. 7SAQCh. 14 - Which of the effects listed in response to...Ch. 14 - Which ANS fibers release acetylcholine? Which...Ch. 14 - Describe the meaning and importance of sympathetic...Ch. 14 - Prob. 11SAQCh. 14 - Describe the importance of the hypothalamus in...Ch. 14 - Postganglionic neurons are also called ganglionic...Ch. 14 - 10-Year-Old Boy with Spinal Injury On arrival at...Ch. 14 - 10-Year-Old Boy with Spinal Injury On arrival at...Ch. 14 - 10-Year-Old Boy with Spinal Injury On arrival at...Ch. 14 - Prob. 4CCSCh. 14 - 10-Year-Old Boy with Spinal Injury On arrival at...Ch. 14 - Prob. 6CCSCh. 14 - 10-Year-Old Boy with Spinal Injury On arrival at...Ch. 14 - Prob. 8CCS
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