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A Long Recovery Road for Norrie

By Melissa S. Kosinski-Collins , Caitlin M. Hepps Keeney, Ariana L. Hinckley-Boltax 

This case study tells the story of “Norrie,” a green iguana who is adopted as a companion animal and becomes sick.  Norrie is brought to a veterinarian and is diagnosed with a metabolic bone disease caused by a nutritional deficiency of calc...

Dystrophin Stability and Cardiomyopathy

By Richard J. Kwak, Joyce A. Horton, Zyan Davis, Kristy J. Wilson

Many students struggle with how the function of a protein can be dictated by that protein’s molecular makeup. In this case study, students learn about the structure and function of dystrophin, a protein that is involved in the contraction and prote...

A Bioinformatic Investigation of a Mysterious Meningoencephalitis

By Sari Matar, Dyan Anore, Basma Galal, Shawn Xiong

This case study gives students an opportunity to use basic bioinformatic tools to develop the skills of data interpretation and analysis. Based on an actual clinical case of a boy who contracted meningoencephalitis, students try to determine the caus...

Diabetic Ketoacidosis Upon Diagnosis

By Ali Chaari, Aisha Kafoud

This directed case study is designed to help students integrate biochemical and physiological concepts with clinical aspects of disease. The case tells the story of a little girl who experiences diabetic ketoacidosis and is diagnosed with type 1 diab...

The Name’s Bond, Chemical Bond

By Katie McShea, Kari Fleuriet, Fatmah Alamoudi, Deana Jaber

This case study is designed to help students better understand chemical bonds by introducing them to perfluoroalkyl and polyfluoroalkyl substances (PFAS), often referred to as “forever chemicals.” The unique structure of these substances renders ...

The Baby Who Had No Baby Fat

By Sheri L. Boyce

This case study on hyperthyroidism tells the story of “Mae,” a mother with undiagnosed Graves’ disease. When Mae gives birth to a son weighing less than 4 pounds with tachycardia, the infant is immediately taken to the NICU. Students are progre...

Maria, Metastasis, and Methotrexate

By Rachael M. Barry, Matthew Mahavongtrakul, Ray Ghorbani, Suzanne Bohlson

This case study describes the fictional experiences of “Maria,” a person recently diagnosed with metastatic cancer and prescribed the drug methotrexate. In the story, Maria discusses her treatment plan with her doctor and learns about her medicat...

No Longer Long in the Tooth

By Alison J. Albee, J. Megan Woltz, Taylor Kemp, Emma Mays, Tylor M. Miller, Eric Fisher, Amanda Loutzenhiser

This case study focuses on the characteristic of tusklessness in the African elephant population of Gorongosa National Park, Mozambique, to examine molecular and macroscopic aspects of evolution. Students are introduced to the plight of African eleph...

Does Jazmyne Need a New Chair?

By Melissa S. Kosinski-Collins , Ariana L. Hinckley-Boltax 

This directed case study follows the story of the diagnosis and treatment of “Jazmyne,” an elderly feline patient with hyperthyroidism. The case asks students to practice the skills of observation and inference while making a diagnosis based on J...

A Bad Burn

By Hollie L. Leavitt

This case study gives students an opportunity to review skin structure and function, and to learn about the assessment and treatment of burns. The case tells the story of “Akeem,” a recent university graduate who severely burns his hand while iro...

Medication Safety Management

By Hilary Anderson, Shannon Mommsen, Sara Khan, Abir O. Kanaan, Karyn Sullivan, Paul Belliveau

Medication errors are preventable events that can negatively impact patient outcomes and result in unnecessary admissions, prolonged hospital stays, and death. Health care professionals (HCPs) often analyze these events to identify the cause of the e...

Conservation Concerns

By Krystal A. Nunes

This case study focuses on wetlands in Ontario, Canada, to investigate factors impacting biodiversity. The narrative begins with an introduction to native plant species at varying levels of conservation concern. Students examine the life history trai...

Nonny Edda’s Heart

By Rebecca L. Landsberg

This directed case study focuses on the structure, function, and diseases of the circulatory system. A college student and her grandmother “Nonny” face a significant health scare involving the heart. While Nonny is in the hospital waiting for the...

Can Stem Cells Bring Magic to Medicine?

By Ashleigh Garrett, Joni H. Ylostalo

Despite the occasional controversy, the use of stem cells in science and medicine is increasingly important and widespread, and thus it is important to understand their basic characteristics, types, sources, and applications. This directed case study...

Disease Ecology

By Blyssalyn V. Bieber, Gabrielle T. Welsh, Mayra C. Vidal, Whitley R. Lehto, Erin M. Lehmer, Robin M. Tinghitella, Shannon M. Murphy

Zoonotic diseases, or diseases that are transmitted from wildlife to humans, provide clear evidence that human health does not exist in a vacuum, but rather results from a complex interplay between humans, other organisms, and their shared environmen...

A Ticket to Nowhere

By Rachel A. Hirst, Tracy R. Rosebrock

This directed case study connects the physiological symptoms and genetic mutations associated with mucolipidosis II, a lysosomal storage disorder (LSD), to the mislocalization of certain lysosomal hydrolases caused by the lack of an important post-tr...

A Nervous Night in the ER

By Breanna N. Harris, Heidi Schutz

In this directed case study, students determine the impact of various venoms or disorders on the electrophysiology of neurons. Students begin with a review of basic neuron terms, physiology, and polarization, with particular emphasis on leak and volt...

The Breathless Heart

By Nalini V. Broadbelt, Amitoj S. Sawhney, Michelle A. Young

This directed case study is based on the true story of a 26-day-old infant who died from congenital heart defects (CHDs). The clinical tests performed on this baby are explored as the 20-year-old brother learns how a malformed heart and defective red...

COPA Syndrome

By Madison Hossack, Kenneth W. Yip

At the intersection of cell biology, genetics, and molecular biology, this case study examines the complexities of vesicular transport and the potentially large-scale implications on human health in instances of dysregulation. Students analyze and ev...

Cords, Coffee Tables, and Cadavers

By Sheri L. Boyce

This collection of mini cases on cardiac function challenges students to explore the relationship between heart rate, stroke volume, and cardiac output, and to investigate some of the factors that alter each component, including preload, contractilit...

Can We Risk It Again?

By Melanie E. Peffer

“Scott” and “Celeste” want to have another baby, but their plans go awry when Celeste miscarries twice. Students follow the couple’s struggle in this case study to learn about meiosis, independent assortment, chromosomal rearrangements, bal...

Can Birds “Keep Up” with Earlier Springs?

By Casey Youngflesh, John C. Withey

The timing of seasonal ecological events, known as phenology, plays an important role in how ecosystems function. As a result of rapid climatic change, many ecological events associated with spring are now occurring earlier. This has prompted concern...

Those Who Wish to Sing Always Find a Song

By Justin W. Merry

This interrupted case study examines the evolution of cricket stridulation in the Hawaiian Islands, where a silent, non-stridulating phenotype of Teleogryllus oceanicus has evolved and spread throughout Hawaiian populations in just over a decade in r...

Nuff Nuff Wata

By Daniel Elias, Jadejah Robinson, Aazah Daniel

In this case study, students explore the impacts of atmospheric events such as El Niño and the trade winds on water scarcity. Set within the geographical and socioeconomical context of Jamaica, students discuss strategies and solutions to improve wa...

Not the NMR You Are Thinking of

By Shawn Xiong

Students often find learning the biochemistry of metabolism to be dry and difficult, partly due to the content-heavy nature of the subject. For example, glycolysis, the most well-known biochemical pathway, consists of 10 enzymes and is further compli...

When Healthy Turns Dangerous

By Rachel Rigsby, Jamie Adam

This case study was developed to teach nursing students about the importance of enzyme reactions and inhibition, not only in normal biochemistry, but also in drug metabolism. Students assume the role of an ER nurse as they tend to a patient displayin...

Is p53 a Smoking Gun?

By Michèle I. Shuster, Joann Mudge, Meghan Hill, Katelynn James, Gabriella A. DeFrancesco, Maria P. Chadiarakou, Anitha Sundararajan

This PowerPoint-driven case study with supporting supplemental materials is designed for students to learn about the protein p53 (the “guardian of the genome”) and how characteristic mutations in the protein were used to establish that smoking ca...

Liam’s Head Injury

By Melody J. Neumann, Michelle B. French, Franco A. Taverna

In this video-centered case study, “Liam” meets with healthcare professionals and is diagnosed with diabetes insipidus due to the loss of vasopressin caused by a head injury. After watching Liam’s story, either at home or in class, students ans...

To Pick a Peck of Orange Peppers

By Pamela Kalas, Fatima Syed

This illustrated, interrupted case study explores the genetic and molecular mechanisms leading to color variation in bell peppers. Students are introduced to the roles of several genes involved in the fruit maturation process, with a focus on the bio...

Sarah’s Stomach

By Kelli M. Kinlen, David M. Zuckerman

In this interrupted case study, students explore the contributions of our intestinal microbiota to our health through the story of a first-year college student suffering from gastric distress. Students investigate the normal activities of our intesti...

Exploring the Ventricles of the Brain Using a Four-Step Systematic Approach

By Natascha Heise, Katelyn E. Brown, Tod R. Clapp

This case study uses a modified problem-based learning approach to explore the anatomy and physiology of the ventricular system along with the sub-arachnoid space. Critical thinking is important for success in professional schools and future careers;...

Metabolic Mayhem

By Theresa L. Beaty

“Wesley,” an apparently healthy newborn boy, develops breathing difficulties and becomes unresponsive around 48 hours after birth. Clinical tests show elevated levels of ammonia and organic acids with corresponding acidemia; genetic tests uncover...

A Song from the Past

By Kerianne M. Wilson

Poor nutrition in early life can have significant and long-lasting impacts to humans and persists in both developed and developing nations. Other species may also be susceptible to some of the same physiological impacts of malnutrition. While many fo...

Molly’s Medical Mission Maladies

By William M. Kolling, Catherine D. Santanello

This case study follows “Molly,” a volunteer with an aid organization conducting annual medical mission trips to Cameroon, Africa.  On their most recent trip, her team was exposed to a local outbreak of listeriosis, and Molly was prophylacti...

Environmental Disaster in Honolulu Harbor

By Prescott C. Ensign

This case study illustrates the importance of decision-making based on sound science, business practices, engineering standards, and ethical principles. In 2013, approximately 1,400 tons of molasses spilled into Honolulu Harbor, wiping out sea life a...

Why Does My Chest Hurt?

By John B. Chiari, Jillian Giblin, Courtney L. McGinnis

This interrupted case study tells the story of “William,” an immigrant from the Faroe Islands to Cape Cod, MA, who has recently experienced an acute myocardial infarction (MI).  With the help of his healthcare team, William learns about his ...

Get a Chemical Clue

By Megan Lee, Anna K.S. Jozwick

This interrupted case study follows the story of “Miriam,” a first-year biology student who draws inspiration from her favorite detective show to help her study for class. Students take on the role of “chemical detective,” learning to use str...

Life in the Fat Lane

By Scott J. Donnelly

This interrupted case study examines one of nature’s metabolic marvels: the hibernating bear and the fat catabolism pathway that enables it to survive the long, cold, and foodless winter months. After a brief introduction explaining the basics of b...

Atkins or Ammonia?

By Stephanie Dingwall, Tammy Nguyen

This interrupted case study is an exploration of ornithine transcarbamylase (OTC) deficiency, which results from a genetic defect in a urea cycle enzyme. Students are introduced to a 21-year-old patient who loses consciousness after a gym session. Up...

The Thorny Issue of the Yellow Star-Thistle

By Mariëlle H. Hoefnagels

This clicker case study is designed to help students understand the basic events in flowering plant (angiosperm) reproduction and appreciate its importance. (Alternation of generations and double fertilization are excluded, but instructors who want t...

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