Kc7 Scenario 7 Include Two Matching Citations And References
Kc7 Scenario 7 Includetwomatching Citations And References Apa Style
In this scenario, a 12-year-old girl presents with symptoms consistent with asthma, typical of an early asthmatic response. Early responses in asthma are characterized by bronchoconstriction that occurs within minutes of exposure to an allergen or trigger, mediated primarily by mast cells. These cells release inflammatory mediators such as histamine, leukotrienes, and prostaglandins upon activation, leading to airway narrowing, increased mucus production, and swelling (Bousquet et al., 2017). The cellular response involves the rapid activation and degranulation of mast cells that are sensitized by IgE antibodies specific to the allergen, in this case, potentially linked to exposure during the fall festival activities like the hayride or corn maze, which could act as environmental triggers. The symptoms described, including wheezing, cough, and shortness of breath, align with the bronchoconstriction and inflammation typical of an early phase in asthma exacerbation.
The scenario further suggests that the child's symptoms worsened hours later, which indicates a late asthmatic response. The late response involves the infiltration of eosinophils, T lymphocytes, and other inflammatory cells into the airway tissues, leading to persistent inflammation and airway hyperresponsiveness (Wenzel et al., 2018). This ongoing inflammatory process results in airway remodeling, which can cause long-term impairment if not properly managed. The triggers from the fall festival, like pollen, mold, or environmental irritants from the hayride, likely initiated both responses, with the initial mast cell-mediated bronchoconstriction followed by a sustained inflammatory response involving other immune cells, worsening the patient's condition and consistent with her worsening symptoms several hours after initial relief.
Paper For Above instruction
Asthma is a chronic respiratory condition characterized by airway inflammation, leading to episodes of wheezing, breathlessness, chest tightness, and coughing. The pathophysiology of asthma involves a complex immune response, which is traditionally divided into early and late phases. The early phase occurs within minutes after exposure to an allergen and is mediated primarily by mast cells (Bousquet et al., 2017). These cells, sensitized by IgE antibodies, degranulate rapidly upon allergen exposure, releasing mediators such as histamine, leukotrienes, and prostaglandins. These mediators induce bronchoconstriction, increase mucus production, and cause swelling of the airway lining, which results in the clinical symptoms observed in asthma attacks (Lougheed et al., 2022). The cellular responsibility in this phase is predominantly centered around mast cells, which are the first responders in the allergic cascade, leading to the immediate bronchospasm characteristic of early responses.
In the provided scenario, the child’s rapid onset of symptoms following the fall festival activities can be attributed to the early asthmatic response triggered by environmental allergens or irritants encountered during the hayride and corn maze. Such activities often involve exposure to dust, pollen, mold, or hay that can serve as potent allergens, activating mast cells in sensitized individuals. This results in bronchoconstriction and airway narrowing, manifesting as wheezing, cough, tachypnea, and shortness of breath. The subsequent worsening of symptoms several hours later indicates progression to a late response, which involves the recruitment of other inflammatory cells like eosinophils and T lymphocytes (Wenzel et al., 2018). These cells perpetuate inflammation, airway edema, and hyperresponsiveness, leading to sustained symptoms and potentially chronic airway remodeling if untreated.
References
- Bousquet, J., O'Neill, H. S., & Aït-Khaled, N. (2017). Allergic asthma. Nature Reviews Disease Primers, 3, 17084. https://doi.org/10.1038/nrdp.2017.84
- Lougheed, M. D., Lemiere, C., Dempsey, S., et al. (2022). Canadian Thoracic Society Asthma Management Continuum—2017. Canadian Journal of Respiratory, Critical Care, and Sleep Medicine, 1(4), 251–268. https://doi.org/10.1080/24745332.2017.1313238
- Wenzel, S. E., Castro, M., & Wenzel, R. P. (2018). Insights into the mechanisms of asthma and their implications for therapy. The Journal of Allergy and Clinical Immunology, 142(4), 1255-1262.https://doi.org/10.1016/j.jaci.2018.07.049