What are some other major lymphatic tissues that impact the immune responses?

CASE STUDY: A 3-yr-old girl had severe injuries after a motor vehicle accident. When she was transfe Show more CASE STUDY: A 3-yr-old girl had severe injuries after a motor vehicle accident. When she was transferred to the emergency department of the nearby hospital it became apparent that her spleen had ruptured and the surgeon had no option but to remove it. Her medical history is unremarkable aside from otitis media and a common cold each winter. She recovered well from the surgery but her mother who is a nurse knows the spleen is important to immunological responses. They ask how removal of the spleen will affect her later life and so a consultation with a hematologist/immunologist is scheduled. What is the immunological role of the spleen? To what types of infections will this patient now be particularly susceptible? Explain how a simple act such as brushing teeth or flossing could now pose a problem. The patients record showed she had already received most of the recommended scheduled vaccinations. What vaccines has she likely had? What would you suggest the family do now? What are some possible treatments for this scenario? What might you recommend as daily prophylaxis for this patient? Discuss circumstances under which you would increase drug regimens. What would you expect to see on a complete blood count (CBC) for this patient? Discuss several risks that now come with vaccination after the surgery. What are some other major lymphatic tissues that impact the immune responses? Briefly explain. The patient will need to monitor for infection lifelong. Explain what an elevated white count means. Explain what a left shift means. What is the prevalence of this disease (both surgical or congenital asplenia) in the population? Explain how vaccination leads to protection in the body. Show less

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