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Adaptive Response Essay: Health and Medical

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Adaptive Response
Scenario 1
Jennifer is suffering from an acute upper respiratory tract infection which is most likely
to be pharyngitis. It is caused by bacterial, viral and in rare cases fungal microbial agents. Group
A beta hemolytic Streptococcus species are the most common causes of pharyngitis with viral
agents such as Adenoviruses, Rhinoviruses and Coronaviruses also commonly implicated. Once
inhaled, these pathogens upon breaching the various host barriers, invade the mucous membranes
of the upper respiratory tract. The toxins they release coupled with the pyrogens on the bacterial
cell wall stimulate a local inflammatory response mediated by both humoral and cellular
immunity.
This results in various alterations of the mucosa that constitute signs of infection. The
affected areas of the throat become inflamed leading to swelling and erythema informally called
Strep throat. This is compounded by tonsilar inflammation also called tonsillitis characterized by
enlarged tonsils that make it difficult and painful to swallow food and also produce difficulty in
breathing. Involvement of the ear, acute otitis media, will see the tympanic membrane swell or
bulge with distinctive reddening. Diffuse tonsilar exudates may also be present which signifies
presence of an immune response. A marked increase in core body temperature denoting pyrexia
is an important symptom of viral or bacterial infection.
The body, in order to counter the toxic effects of the pathogens, will mount adaptive
responses to destroy and eliminate them. The patient will experience fever which is associated
with increase in body temperature. This is as a response to microbial antigens and pyrogens that
stimulate release of prostaglandins, particularly prostaglandin E2 which act on the hypothalamus

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which is essentially the body’s thermostat. An increase in body temperature follows which is
important for the immune system. Lymph node enlargement also ensue as more and more
lymphocytes and macrophages are recruited to combat the pathogen and the resultant purulent
discharges are a marker of this contest.
Scenario 2
Jack is experiencing irritant contact dermatitis caused by exposure of his hands to
abrasive solvents and chemicals. Normal skin is insulated by a barrier layer that protects against
the effects of weak acids and bases, microbial infiltration and allows for retention of water and
temperature regulation. Exposure of the skin of the hands to abrasive chemicals leads directly to
the removal of protective oils from the skin allowing for loss of water via the epidermis. Its
susceptibility to previously tolerable agents is thus increased.
The dehydrated skin thus loses its flexibility and softness and instead becomes dry and
flaky and cracks develop with time. This further exacerbates the problem as pathogens are able
to pass through to the underlying layers. In response to increased environmental stimuli
occasioned by the defective barrier, epidermal cellular changes occur resulting in the release of
inflammatory cytokines. Affected cells include keratinocytes, endothelial cells, fibroblasts and
also leukocytes. Infiltration of leukocytes results in inflammatory reactions responsible for the
reddening and hotness of the hands.
With continued exposure to these irritating solvents and chemical, an adaptive response
termed as hardening is initiated. The morphology of the epidermal and dermal layers of the skin
is altered such that the stratum granulosum and stratum corneum become thickened. Sebaceous
glands will also increase will size. All this is in an attempt to deny the irritant substances access

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Adaptive Response Scenario 1 Jennifer is suffering from an acute upper respiratory tract infection which is most likely to be pharyngitis. It is caused by bacterial, viral and in rare cases fungal microbial agents. Group A beta hemolytic Streptococcus species are the most common causes of pharyngitis with viral agents such as Adenoviruses, Rhinoviruses and Coronaviruses also commonly implicated. Once inhaled, these pathogens upon breaching the various host barriers, invade the mucous membranes of the upper respiratory tract. The toxins they release coupled with the pyrogens on the bacterial cell wall stimulate a local inflammatory response mediated by both humoral and cellular immunity. This results in various alterations of the mucosa that constitute signs of infection. The affected areas of the throat become inflamed leading to swelling and erythema informally called Strep throat. This is compounded by tonsilar inflammation also called tonsillitis characterized by enlarged tonsils that make it difficult and painful to swallow food and also produce difficulty in breathing. Involvement of the ear, acute otitis media, will see the tympanic membrane swell or bulge with distinctive re ...
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