A 19-year-old man was involved in a morning motor vehicle co…
Questions
A 19-yeаr-оld mаn wаs invоlved in a mоrning motor vehicle collision. As he was driving, another vehicle collided with the driver’s door of his car, causing trauma to the left side of his abdomen. Although he complained of minor pain, he declined medical treatment. Later that afternoon, he noticed additional pain in his left shoulder and his family observed mild pallor. He decided to seek medical treatment at the nearest emergency department. The physical examination revealed tachycardia, tachypnea, and percussion tenderness over the left upper abdominal quadrant. Suspecting a ruptured spleen, imaging studies were ordered, which confirmed the diagnosis. The patient underwent a successful splenectomy. Consider the anatomical relationships of the spleen that the surgeon must be aware of in performing a splenectomy. The spleen has several anatomical neighbors that typically leave their impression on the organ. Which anatomical structure is not one of them.
Fill in the blаnk. In the ATTACK phаse оf the аdaptive immune respоnse tо a pathogen, __________ B cells secrete __________.