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Types of cases are defined as follows: Analysis/Issues, Clicker, Debate, Intimate Debate, Demonstration, Dilemma/Decision, Directed, Discussion, Interrupted, Jig-saw, Journal Article, Laboratory, Student Presentations, Mini-case, Problem-Based Learning, Public Hearing, Role-Play, Trial, Flipped, Game

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New Ways to Breathe

By Charlie W. Zhao, Kevin Xo, Tom L. Haffie (rr)

This case study follows a young cystic fibrosis (CF) patient named Lucas. Through Lucas's story and interactions between his parents and pediatrician, students learn about the scientific background and basis of CF. By reviewing email correspondence b...

An Unusual Case of Hypertension

By Robert Ortiz, Sunil Nityanand

This case study examines the interaction between the endocrine, cardiovascular and renal systems. The case narrative details Mr. Smith's high blood pressure that does not seem to respond to treatment. Although he takes good care of himself and follow...

Bringing Home More than a Medal

By Tracie M. Addy, Kathryn A. Phillips, Maura O. Stevenson

This case study was inspired by the Zika virus outbreak that occurred around the time of the 2016 Olympic Games. Many athletes were fearful of attending because of the link between Zika virus infection and microcephaly in infants. This concern, howev...

When Work Makes You Sick

By Tracie M. Addy, Catherine E. LePrevost, Courtney L. McGinnis

This case study was inspired by a real-life scenario, and follows the story of Roberto, a migrant farmworker whose health is impacted by the usage of pesticides on a farm.  With the help of a health care provider, Roberto becomes aware of the ef...

A Yellow-Bellied Lawyer?

By Megan M. Emge, Zenobia N. Okwunwanne, Raphinos Uragu, Johnna L. Yowell, Breanna N. Harris

This interrupted case study tells the story of Michael, a Harvard law graduate with a stressful job and a seemingly heavy drinking problem. Students are provided with background information, medical history, and lab results in order to guide them tow...

Running Off Track

By Maria-Elena Conin, Lea C. George, Joshua D. Kumin, Philip J. Stephens

This interrupted case study follows the course of Cara, a high school athlete training for the state championships in cross country. She suffers from polycystic ovarian syndrome and her prescribed medication (spironolactone) greatly diminishes the ac...

Eating Himself to Death

By Michèle I. Shuster

This case study was developed for an introductory biology course with the goal of integrating content (specifically, structure/function, signaling pathways, and homeostasis) while reinforcing general critical thinking skills and the scientific method...

Hyper-IgM Syndrome

By Chaya Gopalan, William B. Kist

Hyper-IgM syndrome is an X-linked genetic disorder more commonly affecting males than females. It is caused by the lack of heavy chain class-switching from IgM to other isotypes. Patients with hyper-IgM syndrome are susceptible to a variety of infect...

Up All Night

By Natalie G. Farny

In this clicker case, students are introduced to George, an undergraduate student who has been experiencing some odd symptoms. His roommate convinces him to see a physician who recognizes that George's symptoms are consistent with diabetes mellitus; ...

All or Nothing

By Ryan T. Neumann, Collin J. Quinn, Brittany A. Whitaker, Sean T. Woyton, Breanna N. Harris

In this interrupted case study, students pose as an intern of a neuromuscular/skeletal specialist and discover how sarin and myasthenia gravis influence muscle function. Students are given background information about the patients and their situation...

Are We Too Clean?

By Amanda J. Chunco, Jennifer K. Uno

This case study focuses on the relationship between the microbiome (the suite of species that live in or on the human body) and autoimmune and allergic diseases. At the center of the case is Amelia, a young woman living with Crohn's disease. As the c...

When Jenn Lost Her Nerve

By Philip J. Stephens

In many physiology classes the frog neuromuscular junction (NMJ) is presented as the classic example of a chemical synapse, but many synapses show properties that are different. For example, in many chemical synapses there is a protein transporter in...

Thyroid Troubles

By Breanna N. Harris

In this interrupted case study, students shadow an endocrinologist as she tries to determine what is wrong with Angela Barber. Angela is a middle-aged woman presenting with symptoms suggestive of a thyroid issue. Students are given background informa...

It’s a Crocodile! No, a Fish! No, a Dolphin!

By Andrea Bixler

It is not uncommon to hear creationists argue that evolution is not science because no one saw it happen, or for students to wonder how we can know anything about the physiology or behavior of organisms that went extinct hundreds of millions of years...

The Challenge of Epilepsy

By Charlie W. Zhao, Jasper C.H. Wong, Tom L. Haffie (rr)

This case study was originally developed for undergraduate science students as part of an extracurricular competition, but it could also be delivered as a directed case. Accordingly two versions of the activity are included. Each version requires stu...

The Game Changer

By Patrick R. Field, Kelsey L. Logan

This interrupted case study traces the football career of Anthony "Tony Tonka Truck" Williams, and the types of brain  trauma that he suffers from youth league through high school, college and his draft into the pros. In order to be successful d...

Black and Blue with Love

By Kendra S. Mell, Breanna N. Harris

In this directed case study students follow a nurse practitioner and work with a diagnostics team to determine what is wrong with Tristan, an infant who comes to the clinic with multiple bruises. Students are given background and patient history, and...

Cracking the Case

By Breanna N. Harris

In this directed case study, students shadow Dr. Lee in diagnosing two patients with osteoporosis. The students are given patient history and an initial panel of test results, which they discuss in small groups. After diagnosis, they are asked specif...

Why Is He Different from Both Parents?

By Jun Liang, William J. Rice

This case study was developed to teach the topic of human ABO blood type and genetic inheritance in biology courses at the lower undergraduate level or upper high school level. It is suitable for entry level biology, genetics, and physiology courses....

Unlucky Chucky and Toxins of the Neuromuscular Junction

By Andrew M. Petzold, Jennifer Wollschlager, Robert L. Dunbar

Signaling at the neuromuscular junction (NMJ) is a complex process that is required for many actions that sustain life within humans. Toxins that act upon the NMJ, both natural and synthetic, act in a variety of ways to inhibit this function. This ca...

The Write Weight

By Kathryn M. Burleson

Kasey is a busy undergraduate student who is struggling with her body image and wants to lose weight. To aid in this process, Kasey keeps a food and activity journal. Students review Kasey's food and exercise choices, calculate Kasey's daily caloric ...

Living the Sweet Life

By Breanna N. Harris

In this directed case study, students help “Dr. Gupta” diagnose three patients in an endocrinology clinic who are having problems with blood glucose regulation. In Part I, students are given patient backgrounds and results from laboratory tests g...

The Dangers of Deicing

By Ashley E. Rhodes

Loss of species richness is often due to anthropogenic activity. The global decline of amphibians is one such example. This case study examines the impact of road deicing agents on amphibians living near bridges and roads treated heavily with salt du...

En Garde! Animal Structures and What They Mean

By Parks Collins

In most animals, the drive to breed and produce offspring is strong. However, most males live their whole lives without having the chance to breed. The events leading up to mating can be very dangerous and also very costly to an individual. Some male...

The Heart of the Problem

By Kristine A. Garner, Brandy C. Ree

This interrupted case study was developed for an undergraduate class in human cardiac physiology. The story follows a patient whose heart attack damaged a papillary muscle in the left ventricle of the heart. This caused valve dysfunction and mitral v...

I Heart Running

By James A. Carr, Breanna N. Harris

"I Heart Running" is a case study in which students diagnose the cause of exercise-induced tachycardia in an otherwise healthy, 27-year-old female. The patient, Sam, is a long-distance runner and realizes that her exercising heart rate reaches over 2...

The Itsy-Bitsy Spider

By Bruce C. Palmquist

The evolution of physiological characteristics can be strongly influenced by physics. Animals whose physiology allows them to better escape predators will live longer, on average, and be more likely to pass on the genes that led to these favorable tr...

More Than Just a Cough

By Carly N. Jordan

This interrupted case study explores the role of cytoskeletal structures on human health, specifically on respiratory function, sperm motility, and female fertility. It follows the story of a couple struggling to conceive a child and the doctors work...

The Interview

By Karobi Moitra

This case study examines the structure of hemoglobin and myoglobin and how the structure of these molecules dictates their function. The case is written as a play in which several candidates have responded to a help wanted ad seeking an employee with...

Dolphin Deaths

By Briana M. Peele, John S. Peters

This case study examines a variety of biological factors that may have been involved in the 2013 dolphin "unusual mortality event" (UME) on the East Coast of the United States. The story follows a news reporter and four different scientists who are p...

Drug Wars

By Janet A. De Souza-Hart

This case study is based on real events that the author experienced with her 10-year-old daughter. Although the names have been changed, all of the events (symptoms, diagnoses, treatments, types of healthcare professionals) are recorded exactly as th...

Lee Family Problems

By Nickolas E. Millas, Nathalie Musey, Emily Duwan, Philip J. Stephens

This interrupted case study follows "Elaina Lee" and her family through a series of medical mishaps. Elaina suffers a reaction to an overdose of an herbal remedy prescribed to her while studying abroad in Africa. Upon returning home, she feels unwell...

Properties of Gases

By Eric J. Herrera

In 2012, Mike Prickett, a world-renowned underwater cinematographer, was working on a commercial photo shoot in Tahiti when he witnessed a fellow diver sinking and drowning. While saving the drowning victim, Mike fell victim to decompression sickness...

The Modern Caveman’s Dilemma

By Heather K.L. Harden, Michael L. Foley, Rachel A. Poon, Annie Prud’homme-Genereux

During the Paleolithic era, human life expectancy was only 33 years—roughly half of what it is today. We owe our more extended lives in part to better hygiene, medicines, and more plentiful foods. Yet some people aspire to return to that earlier er...

To Be or Not to Be ... an Inhibitory Neurotransmitter

By Frank Miskevich

Jessica and George are students struggling to understand the forces which control ions moving across membranes.  For the nervous system in particular, ions create the electrical signals neurons use to communicate with one another.  Jessica ...

Grandma's TUM-my Trouble

By Ann T. Massey

An elderly woman living independently with some help from her family is brought to the local emergency room because she is confused and vomiting. While her son suspects a stroke, a quick battery of laboratory tests indicates that her current pro...

Lost? Ask a Turtle

By Giovanni Casotti

This case study examines the events surrounding the hatching and migration of loggerhead sea turtles, specifically what mechanisms they use to head towards the ocean (once hatched) and where and how they migrate once in the ocean.  The story is ...

Differential Diagnosis and Treatment of an Autoimmune Response

By Alisa J. Petree, Sondra A. Dubowsky, Mary A. Sides

There are a number of medical disorders that mimic each other and accordingly prove problematic for diagnosis, including autoimmune disorders (rheumatoid arthritis and systemic lupus erythematosus), bacterial infections (syphilis), and arthropod born...

Chemical Eric Can't See

By Eric Ribbens

This autobiographical case study presents the story of Eric as he learns that he has a genetic eye disease, which progresses to the point that he becomes legally blind. The story is true and, in this respect, similar to another case by the same autho...

The Deep

By Giovanni Casotti

This case study presents a fictional story in a realistic setting to teach aspects of human cardiovascular and respiratory physiology as they pertain to decompression sickness and its treatment options. Specifically, students learn about the partial ...

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