Doctor, Doctor, Tell Me the News (revised) Original Author: Jenny Amos, GK-12 institute Revised by: Nick Henke and Katie Altman Overview: A problem solving game that covers diseases of the human body. Suggested grade level(s): 7-12 Concepts covered: Disease, virus, bacteria, organ systems, problem solving Standards: (Based on South Carolina 7th grade standards) 7-3: The student will demonstrate an understanding of the functions and interconnections of the major human body systems, including the breakdown in structure or function that disease causes. (Life Science) 7-4.3: Explain the effects of disease on the major organs and body systems (including infectious diseases such as colds and flu, AIDS, and athlete’s foot, and noninfectious diseases such as diabetes, Parkinson’s, and skin cancer). Length of lesson: 30 minutes Materials required: Folders for each student Disease List Patient Write-ups Copies of Diagnosis Sheet for each student Lesson Format Phase I. Engage Grab the students attention by asking the class the following questions: Have you ever wondered what goes on inside a doctor’s office? How does a doctor determine what illness a person has? Have you ever considered being a doctor or nurse? As background, make sure that students have completed the chapter covering diseases and are familiar with the human body and organ systems. Page 1 of 12 This lesson plan is part of the 2007 GK-12 Institute Phase II. Explore Introductory Information: (Read the following information aloud to the students.) In a busy doctor’s office, the head doctor has hired you to take patients to help him/her diagnose that patient’s disease. Using the patient write-up given to the nurse and your knowledge of diseases, you must diagnose them quickly. Activity: 1. Tell the students to diagnose the patients on the list as quickly as possible for a prize. 2. Seven different patients will be in different colored folders around the room and they must see all 9 patients. There are 9 disease write-ups that they have to refer to for diagnosis, but they should be careful since so many diseases sound similar. 3. Once the student has diagnosed all of the patients and writing their diagnosis on the Diagnosis Sheet, they must turn it in to the physician attendee (the teacher) for review and the prize. Phase III. Explain Answers: Name Gloria Hampton George Talons Ester Graves Julia Plimer Ed Yingling Veronica Klapps Johnny Becker Steven Johnson Linda Smith Phase IV. Disease Athlete’s foot Flu Diabetes Cold Strep throat Parkinson’s disease Asthma Skin cancer AIDS Elaborate DISEASE is a condition that does not allow the body to function normally. Diseases can affect either an individual organ or an entire body system. Diseases are divided into two groups— infectious and noninfectious. Infectious diseases are caused by tiny organisms called pathogens. -These pathogens can be bacteria, viruses, fungi, or protists. -These pathogens can come from another person, a contaminated object, an animal bite, or the environment. Page 2 of 12 This lesson plan is part of the 2007 GK-12 Institute -The immune system is responsible for distinguishing between the different kinds of pathogens and reacting to each according to its type. -Once a pathogen has entered the body, it works by damaging individual cells within the organs or in some cases attacks an entire body system. Noninfectious diseases are diseases that are not caused by pathogens in the body. -They are not spread from organism to organism. -These diseases are caused by malfunctions in body systems that are either inherited or caused by environmental factors. Thought questions to ask the students: 1) As the physician’s assistant, what do you think you or the nurse, or even the physician, could have done differently? 2) Do you think if there were 10 diseases and 7 patients you would have had a higher percentage of correct diagnoses? Why? 3) What does this make you think about doctors making correct diagnoses when there are thousands of diseases in the real world? 4) Is anyone interested in being a doctor or studying disease? Page 3 of 12 This lesson plan is part of the 2007 GK-12 Institute Disease List (Alphabetical) AIDS Description: Acquired immunodeficiency syndrome (AIDS) is caused by the human immunodeficiency virus (HIV). This virus attacks the cells in the immune system making the organism unable to fight off other pathogens that may attack the body. Symptoms include fever, sweats (often at night), swollen glands, chills, weakness, and weight loss. AIDS patients may go up to 10 years without experiencing any symptoms. Diagnosis: A person may also be diagnosed as having AIDS if they have a CD4 cell count below 200 cells/mm3. Asthma Description: Asthma is a disease that affects the lungs and the airways that deliver air to the lungs. It causes periodic attacks of wheezing and difficult breathing. An asthma attack occurs when the airways become inflamed in response to a stimulus, such as dust, mold, pets, exercise, or cold weather. However, some attacks start for no apparent reason. Usually found in childhood but some are not diagnosed with asthma until adulthood. During an episode a patient will experience tightness of the chest, difficulty breathing, and coughing. Diagnosis: Diagnosis is done by listening to the lungs (for a wheezing sound), taking lung xrays (looking for inflamed lungs) and performing allergen tests (for food and environmental allergens). Athlete’s Foot Description: A common fungal infection of the skin of the feet. The fungus may be contracted from public environments and then grows in the warm and moist environment usually between the toes, and can be difficult to cure. Athlete's foot causes scaling, flaking, and itching of the affected skin. Diagnosis: Usually can be diagnosed by a visual inspection of the infected area. When this is not sufficient, a KOH test (potassium hydroxide) can be prepared. Also when needed a skin biopsy (a sample if tissue) can be examined. Cold Description: An illness caused by a viral infection located in the respiratory system. Once inside the human body, the cold virus multiplies and attacks the mucous membranes of the nose and throat causing the common effects of the cold (for example, cough, sore throat, runny nose or fever). Other symptoms include muscle aches, fatigue, headaches, shivering, and loss of appetite. Because the cold is caused by a virus it cannot be treated with an antibiotic. Diagnosis: Since there are no tests available to diagnose this illness doctors must look for the common symptoms. Throat cultures can be taken to rule out any other infection. Page 4 of 12 This lesson plan is part of the 2007 GK-12 Institute Diabetes Description: A disease that results in the glucose (sugar) level of the blood being higher than the normal range. It is caused by a person’s inability to either produce or use properly a natural chemical produced in the body called insulin. The higher level of blood sugar results in many disorders of the body, for example an increase in problems with circulation of blood. Other risk factors include poor diet and obesity. Diabetes can lead to kidney disease or heart disease or cause vision problems. Symptoms include frequent urination, increased thirst and hunger. Later symptoms include blurred vision and swelling of the extremities such as the feet. Diagnosis: Diagnosed by taking plasma blood glucose tests or fasting glucose tests. Patients typically will score > 200 mg/dl plasma glucose or fasting glucose > 130 mg/dl. Patients will also experience frequent urination, loss of appetite, and high blood pressure. Flu Description: Influenza, commonly known as "the flu," is a highly contagious viral infection of the respiratory system. Influenza typically causes fever, muscle aches, chills, fever, sore throat, headache, fatigue, and a more severe cough than the common cold and usually lasts longer. The flu can lead to nausea and vomiting. Generally transferred thru the air by couch or sneeze Diagnosis: Doctors typically look for the common symptoms of the flu. Antibody tests and viral cultures can also show if a patient has influenza. Parkinson ’s Disease Description: A disease of the nervous system that occurs when certain nerve cells in the brain stop functioning properly, affecting the muscular system. The major symptoms are severe shaking (tremors) and disabilities involving movement. Others include joint and muscle stiffness and impaired balance. At present, there is no cure for Parkinson's disease. Diagnosis: There is no test for this disease so doctors are forced to diagnose based on symptoms, usually if a patient experiences tremors, slow movement and rigidity, and postural instability. Skin Cancer Description: A disease in which skin cells found in the outer layers of the skin becomes damaged, often showing a change in appearance of the skin such as a growth or a sore that doesn’t heal. Factors that can lead to skin cancer are damaging ultraviolet rays (UV) from the Sun or tanning beds and heredity. Diagnosis: The best way to diagnose skin cancer is to take a biopsy of the concerned area to be examined under a microscope. Page 5 of 12 This lesson plan is part of the 2007 GK-12 Institute Strep Throat Description: Strep throat is a contagious disease caused by bacterial infection. Strep throat symptoms include fever, pain, redness, and swelling of the throat and tonsils. Strep throat may produce mild or severe symptoms including sore throat, nausea, and vomiting. Strep throat is contagious and can be transferred by close contact with another person. Diagnosis: Diagnosis includes examination of the symptoms and laboratory testing including RADT test (rapid antigen detecting test) or throat culture examination. Phase V. Evaluate A sample rubric is shown below: CATEGORY Worksheet Class Discussion 4 pts. 3 pts. 2 pts. 1 pt. Student got all answers correct and work was neat. Student got a majority of answers right and work was legible. Student did not answer all questions and work is illegible. Student did nothing. Student was alert and engaged in discussion and shared ideas. Student was alert and respectful to the discussion and answered in ‘group’ questions. Student was distracted or disrespectful during discussion and did not add to the group. Student was a distraction and halted the discussion to get attention. Page 6 of 12 This lesson plan is part of the 2007 GK-12 Institute Name _______________________________ Doctor, Doctor, Tell Me the News! Diagnosis Sheet Gloria Hampton - Red ___________________________________________ George Talons – Dk Green ________________________________________ Ester Graves - dk Blue _________________________________________ Julia Plimer - Yellow _________________________________________ Ed Yingling - Beige _________________________________________ Veronica Klapps - Lt Blue _________________________________________ Johnny Becker- Lt Green _________________________________________ Steven Johnson-Orange _________________________________________ Linda Smith-Purple _________________________________________ Page 7 of 12 This lesson plan is part of the 2007 GK-12 Institute Patient Write-ups --------------------------------------------------------------------------------------------------------------------- Patient name: Miss Gloria Hampton Age: 21 Occupation: student Temperature: 98.5 F Weight: 125 Height: 5’6” Family history: Heart problems (mom’s side) Skin cancer (dad’s side) Diet: Healthy diet of lean meat and vegetables Symptoms: I eat healthy and exercise regularly. I compete on my schools swim team and between classes am always at the pool or in the gym. Since the season began I have been more fatigued than usual and have noticed a weird skin color on my foot that has been irritating me. *Blood results: none Doctor’s note: Tissue biopsy sent to lab for examination --------------------------------------------------------------------------------------------------------------------- Patient name: Mr. George Talons Age: 45 Occupation: factory worker Temperature: 100.7 F Weight: 210 Height: 5’10” Family history: Diabetes (mom’s side) no information from father’s side Diet: Cereal for breakfast, brings a sandwich to work for lunch, big supper at home Symptoms: About three days ago I noticed that I was not feeling 100%. I had a sore throat and seemed cold at work. My wife says I have been going to bed earlier than usual and seem sluggish around the house. Also my head and muscles hurt when I cough. *Blood results: none Doctor’s note: patient seems to be coughing severely and complains of a sore throat. --------------------------------------------------------------------------------------------------------------------- Page 8 of 12 This lesson plan is part of the 2007 GK-12 Institute Patient name: Miss Ester Graves Age: 53 Occupation: secretary Temperature: 97.9 F Weight: 180 Height: 5’5” Family history: Diabetes (mom’s side) Heart Problems (dad’s side) Diet: usually take out food or eating out for dinner, skips breakfast daily, and drinks diet soda Symptoms: It’s all been bothering me for a year now I guess. I also notice that I get dizzy between meals and after big meals. I lost some weight in this past year but I haven’t been exercising or eating any differently, in fact, I’d say I eat more because it keeps me from being dizzy. I also noticed that I have to go to the bathroom more often so much that people thought I was using it as an excuse to get more break time from work. *Blood results: plasma glucose level at 210 mg/dl --------------------------------------------------------------------------------------------------------------------- Patient name: Miss Julia Plimer Age: 16 Occupation: High school student Temperature: 100.8 F Weight: 130 Height: 5’7” Family history: Diabetes (mom’s side) Arthritis (dad’s side) Diet: Cafeteria food and fast food mom picks up on her way home from work. Symptoms: For the past few days I have been feeling a bit lousy. My mother says my head is warm to the touch and she is very concerned. I have been coughing a bit and have a runny nose. I suppose I have been feeling weak and have a headache. My mom says I need antibiotics. Can you give me some to get her off my back? *Blood results: none Doctor’s note: RADT test came back negative. Page 9 of 12 This lesson plan is part of the 2007 GK-12 Institute --------------------------------------------------------------------------------------------------------------------- Patient name: Mr. Ed Yingling Age: 26 Occupation: Football player Temperature: 100.2 Weight: 220 Height: 5’10” Family history: none known Diet: I really like steak and potatoes. Coach tells us to eat pasta before each game. Symptoms: Hey, Doctor, I don’t know what’s wrong with me, I’m usually never sick. I’m having trouble swallowing when I eat. And boy do I like to eat. My throat has been too sore and swollen. And when I do manage to eat something, I get nauseous and throw it up half the time. *Blood results: normal --------------------------------------------------------------------------------------------------------------------- Patient name: Mrs. Veronica Klaps Age: 45 Occupation: nurse Temperature: 99.0 Weight: 150 Height: 5’6” Family history: Ovarian Cancer (mom’s side) Arthritis (dad’s side) Diet: Varied diet. Try to stay away from red meat. Symptoms: I’ve lost some weight over the past year and not sure why. I get a bit dizzy sometimes and it seems to happen if I haven’t eaten lately. My joints are kind of stiff lately probably because I am getting older. Every so often my hands get a bit shaky, probably because it so darn cold outside these days. *Blood results: plasma glucose level at 180 mg/dl Doctors note: Patient complains of joint pain --------------------------------------------------------------------------------------------------------------------- Page 10 of 12 This lesson plan is part of the 2007 GK-12 Institute Patient name: Mr. Johnny Becker Age: 10 Occupation: none Temperature: 98.7 F Weight: 76 Height: 4’8” Family history: emphysema (mom’s side) lung cancer (dad’s side) Symptoms: Doctor, since he was little my son has had these symptoms. He gets sick more often than my other kids. He tells me that sometimes he has trouble breathing and gets dizzy. He seems to cough a lot and have trouble breathing while playing outside with his sister. Please help him so that I can sleep without worrying that he’s going to die! *Blood results: normal --------------------------------------------------------------------------------------------------------------------- Patient name: Mr. Steven Johnson Age: 20 Occupation: Beach lifeguard Temperature: 98.7 F Weight: 176 Height: 6’1” Family history: Arthritis (mom’s side) Asthma (dad’s side) Symptoms: Hey doc, how’s it going? I came in today because I noticed a weird discoloration on my foot man, but I wash my feet in the shower every day before I go to work. Everything else seems to be good bro, it’s the middle of summer and the air is fresh! *Blood results: normal Doctor’s note: Tissue biopsy sent to lab for examination --------------------------------------------------------------------------------------------------------------------- Patient name: Mrs. Linda Smith Page 11 of 12 This lesson plan is part of the 2007 GK-12 Institute Age: 35 Occupation: volunteer Temperature: 98.7 F Weight: 130 Height: 5’8” Family history: Cancer (mom’s side) Diabetes (dad’s side) Symptoms: Lately I have been feeling a bit fatigued and as a result I have lost a bit of weight. I keep having these chills and wake up sweaty at night, but I’ve been vaccinated for malaria every time the Peace Corps have taken me to Africa since I was 25. I hope I’m not coming down with the flu! It is that time of year. *Blood results: none --------------------------------------------------------------------------------------------------------------------- Page 12 of 12 This lesson plan is part of the 2007 GK-12 Institute