Highlights
Purpose: The case study essay allows you to demonstrate your integrated knowledge of the anatomical and physiological workings of the healthy human body.
Important to note:
You MUST write an essay and your answers MUST relate to the person in your chosen case study
• This assessment involves addressing a series of generic questions in the form of an essay. The questions relate directly to the case studies presented.
• All of your answers must be specific for the person in the case study, marks will not be given where your essay does not relate to the person in the case study.
• The answers to the questions in the case study must be integrated into an essay, which should include an appropriate introduction and conclusion.
• You can present the information in the order that you feel flows best; you don’t have to present it in the order of the questions.
• Your answers must be incorporated into sentences and paragraphs that include facts from the case study. If presented in question-answer style no marks will be given for quality of essay.
Case Study: Jane
Jane is a 38yo marathon runner who has presented to her GP clinic after completing a training run. She trains three days per week, and has experienced light-headedness, and significant muscle pain after her last three runs. Whilst talking to the clinic nurse, Jane admits to feeling lethargic, and like her “heart is racing”. She has also been a little unsteady on her feet and stumbled climbing the stairs in her home the previous evening. She reveals her fluid intake has been lower than usual, and although she is still eating well, her caloric intake has been less than usual. She has lost 2kg in the last month. She also states her resting heart rate used to be 51 bpm according to her Garmin watch.
Jane applied Voltaren Emulgel, a topical non-steroidal anti-inflammatory drug (NSAID), to her quadriceps and calves immediately after this morning’s run, hoping to relieve some of her muscle soreness.
Question 1
A. Describe the changes in volume and pressure that will be occurring in Jane’s chest cavity to achieve exhalation during a long run. Explain why these changes are occurring, and the effect upon airflow.
B. Describe the gas exchange occurring between air in Jane’s alveolar air and pulmonary blood. Will the rate of gas exchange change during exercise? Explain your answer.
Question 2
A. Which ANS response would you expect to dominate during Jane’s runs? Explain your answer. B. Which hormone associated with glucose homeostasis would you expect to be most active during this ANS response? Why? Using your knowledge of glucose homeostasis, explain your answer.
Question 3
A. Describe the role of the kidneys in maintaining fluid balance with reference to the role of antidiuretic hormone (ADH). Is Jane at risk of not maintaining homeostatic fluid mechanisms? Why/why not?
B. What is a urinalysis and what is its significance for this case? With respect to the specific gravity (SG) component of Jane’s urinalysis result, and using your knowledge of normal kidney function, would you expect this result? Why/why not?
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