lesson 4 what's the dignosis lesson
TRANSCRIPT
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Mark’s Case p.4
Normal Abnormal
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Physical Checkup
• What do we know (review)
Listening Exercise p. 6 B
• What is Normal vs. What is Abnormal
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Thyroid Gland
• Hormones = chemical messengers
• Makes energy,
• regulates temperature,
• Helps organs function
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Summary C p. 7
• What is Mark’s chief complaint?
• What are his symptoms?
• What is normal?
• What is abnormal?
• What is the initial diagnosis?
• What tests still need to be done?
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Diabetes Mellitus
A disorder of the metabolism causing excessive thirst and the production of large amounts of urine.
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Diabetes Mellitus
• Greek “Diabetes”, as ‘going through’ production of urine.
• ‘Mellitus’ comes from the Latin for honey.
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‘Mellitus’ = Glucose
• A simple sugar that is an important energy source
• Insulin: regulates
carbohydrates and fats
Diabetes is a result of
glucose/insulin
imbalance
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Diabetes Video
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Fasting Blood Glucose Test
• The patient does not eat for 12 hours (fasting)
• Blood sugar level is measured
• Healthy, then insulin reduces blood sugar levels
• Diabetes blood sugar remains high
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Glucose Tolerance Test
• Patient fasts for 12 hours (eats nothing)
• Given 75gm of glucose
• Blood Glucose Level is measured after two hours
• Insulin in a normal patient would reduce blood sugar level
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Glucosuria
• Tests if there is sugar in the urine
• Glucose not absorbed by kidney is released by urine
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Mark’s Lab Results are Back!
• Look at the table above p.8
• What do you notice about the results?
• What is abnormal? What is normal?
• Can you make a diagnosis from these results?
• Open your books to 4A
Lets go through vocabulary!
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Results
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Limits
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Priority
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Diagnosis
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Comprehensive
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Treatment
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Work individually. 4A.
• Fill in the blanks • Number the sentences
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Treatment of Diabetes
• Blood Sugar at the correct level (insulin levels watched and diet)
• Treatment which must be started immediately!
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Long term complications
If blood sugar is not kept steady:
• Foot
• Eye
• Teeth
• Heart Disease
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Read through the treatment plan 4B
Use the glossary at the back of the book to understand terms
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4B: “Classify element’s of Mark’s treatment plan”
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How would you classify these animals?
• I would classify it as…….a/an
• Mammal
• Reptile
• Insect
• Fish
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Immediate Actions (I)
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Ongoing Actions (O)
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Both (B)
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Complete 4B
In groups….
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5 minute break
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Warm up!
• Abstract drawing exercise: What is this!!??
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Situation: “I need advice”
• Help!
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1. “I gained a little weight and I can’t fit into my pants. What should I do?”
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2. “I haven’t paid my taxes this year and I don’t have any money. What
should I do”?
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Serious.
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Which situation is more serious?
1. Gained weight 2. Have not paid taxes
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Which phrase is used for something serious?
“Should” “Had better”
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Worksheet
Categorize situations into serious (S) vs. not serious (NS)
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1.
• I forgot my favorite pencil at home.
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2.
• There is a fire in my basement!
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3.
• I’m feeling little bit sad today. I miss home.
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4.
• There are lots of people outside my house who make loud noise at night
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5.
• I’m allergic to peanut butter, but I love peanut butter and I don’t know what else I can put on my toast.
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6.
• My car needs to be cleaned.
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7.
• Every time I speak in front of a class I feel shy and my face turns red.
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8.
• I’m afraid of the dark.
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9.
• My husband broke his leg 10 minutes ago.
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10.
• Every restaurant in town serves bad food.
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11.
• I need a razor to shave.
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12.
• I forgot grandpa’s diabetes medication at home. And he’s starting to feel light headed.
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13.
• There is a car crash by the side of the road and there’s nobody to help.
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14.
• I see someone robbing the local bakery.
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15.
• Every time I stand up I get dizzy and blood runs out my nose.
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16.
• There is a person who keeps hitting (you)
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17.
• There is a person who wants directions from (you)
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18.
• My neighbor has an endangered species as a pet an I’ve known about it for a long time.
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19.
• My girlfriend broke up with me. And I feel so angry and alone.
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20.
• You’re student’s keep forgetting their homework. What do you say?
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Form and Meaning
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Use
• You’d Better Stronger and there is some kind of consequence
• You Should Recommendation for what you should do.
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Look back at 4b
• You’d better vs. You should
• What expression is best for giving advice for immediate actions?
• What expression is best for giving advice for ongoing actions?
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Write advice for 5 of the situations on the worksheet
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In groups choose one situation from the worksheet and create a role play
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Individually: Think of two situations
• One situation is not serious
• One situation is serious
Write them down.
• We will ask for advice from the group
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4C: What questions do you think Mark and his mother (Mrs. Thurston) have
for the doctor?
• Think of activities
• Diet
• Job
• Transportation
What do you think the doctor’s answers will be?
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Listen: 4D
• Write down 5 points (facts)
• That Dr. Murry tells Mark and his mother
• First time, just listen
• Second and third time we listen, write things down.
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Physical Differences Worksheet
• Half the class take worksheet B/half A
• I will model the exercise first
Hair
Glasses
Coat/Dress
Shoes
Belt
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Helpful Phrases For The Worksheet
• Does he/she have
• Is he/she wearing
• What hand
• Is he/she
Look for differences and write them down with your partner to share with the class
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Changing Appearance Game
• Two lines facing each other
• Remember what the person looks like
• Turn around from partner and change something about appearance
• Face partner and guess what has changed.
I will model the game for the class first
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Symptoms of Diabetes
• Can anyone remember?
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Symptoms of Diabetes
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5 minute break
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Get into groups of 5
• Take a worksheet on symptoms
• Write what you think its going on in each picture around the class
• We will go over answers as a group after
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I feel dizzy
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My stomach hurts
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My throat hurts
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I have diarrhea
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My nose is blocked
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I have a headache
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I have an earache
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I’m feeling nauseous
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Match the label with the symptom
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Draw your own picture to help you remember each symptom
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Role Play 4E
• Use the glossary to understand all the terms in the situations
• Situations are written in medical terms. With a patient make the situation simple.
• Practice both role plays in pairs
• Some students will perform for the class
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Summary
• Difference between Normal vs. Abnormal lab results
• Symptoms and Treatment for Diabetes
• Giving Advice: “You should.” vs. “You had better!”
• Physical differences game
• Describing Physical Symptoms