Skip to main content
 

A Rough Semester

What's Wrong with Katie?

By Thomas E. Hynd, Elizabeth V. Berkeley, Janet C. Daniel, Justin W. Brown, Bisi T. Velayudhan

A Rough Semester


 

Abstract

This interrupted case study tells the story of Katie, an active college sophomore who experiences flu-like symptoms.  She initially thinks that her illness is a result of the stress associated with the rigors of college; however, after visiting her university's health center and subsequent treatment with typical flu remedies, her symptoms worsen and multiply.  After several clinical tests, Katie is diagnosed with type II diabetes mellitus and given appropriate treatment. The case includes a lab component (which can be eliminated with minor modifications) in which students complete a urinalysis of a sample of Katie's "urine" by testing for glucose, hemoglobin and pH with commercially available urinalysis reagent test strips, and measure specific gravity with a refractometer. This case was designed for a one-semester, introductory physiology laboratory course taken mainly by sophomore/junior pre-nursing and health science students, but could also be used in a more advanced physiology course for biology students.

   

Date Posted

03/18/2019

Overview

Objectives

  • Develop critical thinking skills by analyzing and interpreting data.
  • Identify pertinent red flags in a medical history.
  • Interpret basic medical test results.
  • Understand how glucose and protein are processed by the kidney.
  • Understand the physiology of insulin.
  • Explain the pathophysiology and potential treatments of type II diabetes mellitus.
  • Describe how several commonly prescribed treatments of type II diabetes mellitus counter the underlying pathophysiology of the disease.
  • Understand that drugs have contraindications, which exclude them from being prescribed in certain patients.
  • Describe the physiologic relevance of hemoglobin A1c in treating type II diabetes mellitus.

Keywords

Kidney; urinalysis; diabetes; laboratory; diabetes; diabetes mellitus; insulin; glucose; lipid panel; cbc; Canagliflozin; SGLT2

  

Subject Headings

Cell Biology
Medicine (General)
Nursing
Pharmacy / Pharmacology
Physiology

EDUCATIONAL LEVEL

Undergraduate lower division, Undergraduate upper division, Clinical education

  

FORMAT

PDF

   

TOPICAL AREAS

N/A

   

LANGUAGE

English

   

TYPE/METHODS

N/A, Interrupted, Laboratory

 

 

Asset 2