lesson 4 what's the dignosis lesson

Mark’s Case p.4

Normal Abnormal

Physical Checkup

• What do we know (review)

Listening Exercise p. 6 B

• What is Normal vs. What is Abnormal

Thyroid Gland

• Hormones = chemical messengers

• Makes energy,

• regulates temperature,

• Helps organs function

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?

Diabetes Mellitus

A disorder of the metabolism causing excessive thirst and the production of large amounts of urine.

Diabetes Mellitus

• Greek “Diabetes”, as ‘going through’ production of urine.

• ‘Mellitus’ comes from the Latin for honey.

‘Mellitus’ = Glucose

• A simple sugar that is an important energy source

• Insulin: regulates

carbohydrates and fats

Diabetes is a result of

glucose/insulin

imbalance

Diabetes Video

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

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

Glucosuria

• Tests if there is sugar in the urine

• Glucose not absorbed by kidney is released by urine

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!

Results

Limits

Priority

Diagnosis

Comprehensive

Treatment

Work individually. 4A.

• Fill in the blanks • Number the sentences

Treatment of Diabetes

• Blood Sugar at the correct level (insulin levels watched and diet)

• Treatment which must be started immediately!

Long term complications

If blood sugar is not kept steady:

• Foot

• Eye

• Teeth

• Heart Disease

Read through the treatment plan 4B

Use the glossary at the back of the book to understand terms

4B: “Classify element’s of Mark’s treatment plan”

How would you classify these animals?

• I would classify it as…….a/an

• Mammal

• Reptile

• Insect

• Fish

Immediate Actions (I)

Ongoing Actions (O)

Both (B)

Complete 4B

In groups….

5 minute break

Warm up!

• Abstract drawing exercise: What is this!!??

Situation: “I need advice”

• Help!

1. “I gained a little weight and I can’t fit into my pants. What should I do?”

2. “I haven’t paid my taxes this year and I don’t have any money. What

should I do”?

Serious.

Which situation is more serious?

1. Gained weight 2. Have not paid taxes

Which phrase is used for something serious?

“Should” “Had better”

Worksheet

Categorize situations into serious (S) vs. not serious (NS)

1.

• I forgot my favorite pencil at home.

2.

• There is a fire in my basement!

3.

• I’m feeling little bit sad today. I miss home.

4.

• There are lots of people outside my house who make loud noise at night

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.

6.

• My car needs to be cleaned.

7.

• Every time I speak in front of a class I feel shy and my face turns red.

8.

• I’m afraid of the dark.

9.

• My husband broke his leg 10 minutes ago.

10.

• Every restaurant in town serves bad food.

11.

• I need a razor to shave.

12.

• I forgot grandpa’s diabetes medication at home. And he’s starting to feel light headed.

13.

• There is a car crash by the side of the road and there’s nobody to help.

14.

• I see someone robbing the local bakery.

15.

• Every time I stand up I get dizzy and blood runs out my nose.

16.

• There is a person who keeps hitting (you)

17.

• There is a person who wants directions from (you)

18.

• My neighbor has an endangered species as a pet an I’ve known about it for a long time.

19.

• My girlfriend broke up with me. And I feel so angry and alone.

20.

• You’re student’s keep forgetting their homework. What do you say?

Form and Meaning

Use

• You’d Better Stronger and there is some kind of consequence

• You Should Recommendation for what you should do.

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?

Write advice for 5 of the situations on the worksheet

In groups choose one situation from the worksheet and create a role play

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

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?

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.

Physical Differences Worksheet

• Half the class take worksheet B/half A

• I will model the exercise first

Hair

Glasses

Coat/Dress

Shoes

Belt

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

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

Symptoms of Diabetes

• Can anyone remember?

Symptoms of Diabetes

5 minute break

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

I feel dizzy

My stomach hurts

My throat hurts

I have diarrhea

My nose is blocked

I have a headache

I have an earache

I’m feeling nauseous

Match the label with the symptom

Draw your own picture to help you remember each symptom

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

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