2. Physical Checkup
• What do we know (review)
Listening Exercise p. 6 B
• What is Normal vs. What is Abnormal
3. Thyroid Gland
• Hormones = chemical
messengers
• Makes energy,
• regulates temperature,
• Helps organs function
4. 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?
5. Diabetes Mellitus
A disorder of the metabolism causing excessive
thirst and the production of large amounts of
urine.
6. Diabetes Mellitus
• Greek “Diabetes”, as ‘going through’
production of urine.
• ‘Mellitus’ comes from the Latin for honey.
7. ‘Mellitus’ = Glucose
• A simple sugar that is an important energy
source
• Insulin: regulates
carbohydrates and fats
Diabetes is a result of
glucose/insulin
imbalance
9. 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
10. 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
11. Glucosuria
• Tests if there is sugar in
the urine
• Glucose not absorbed
by kidney is released by
urine
12. 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!
59. Use
• You’d Better Stronger and there is some
kind of consequence
• You Should Recommendation for what you
should do.
60. 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?
62. In groups choose one situation from
the worksheet and create a role play
63. 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
64. 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?
65. 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.
66. Physical Differences Worksheet
• Half the class take worksheet B/half A
• I will model the exercise first
Hair
Glasses
Coat/Dress
Shoes
Belt
67. 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
68. 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
72. 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
82. Draw your own picture to help you
remember each symptom
83. 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
84. 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
