<img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/e_coli_twine.png" style="float: right;">
Welcome to the Happy Sunshine Clinic!
What is your name?
(input-box:2bind $dr_name,"X=", 1)
If you are a Mississippi State University student, what is your NetID?
(input-box:2bind $netid,"X=", 1)
[[Let's get started->Page]]
(set: $knock to false)
(set: $freq to false)
(set: $desc_diarrhea to false)
(set: $diet to false)
(set: $travel to false)
(set: $social to false)
(set: $pain to false)
{
(track: 'medical-background', 'loop', true)
(track: 'medical-background', 'playwhenpossible')
(track: 'medical-background', 'volume', 0.08)
}
---
(text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]<img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/e_coli_twine.png" style="float: right;">
(set: $knock to true)
(if:visits is 1)["Hello Toby, what brings you in today?" You ask.]
(if:visits is 1)[<iframe width="560" height="315" src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/03/What_brings_you_in_today.mp4" title="What brings you in today?" frameborder="0" allow="autoplay; accelerometer; clipboard-write; encrypted-media; gyroscope; picture-in-picture; autoplay" allowfullscreen"></iframe>]
Do you have any questions for Toby?
(if:$desc_diarrhea is false)[* [[Can you describe the diarrhea?->Describe Diarrhea]]](if:$desc_diarrhea is true)[(if:$blood is false)[* [[Is there any blood in your stool?->Blood in stool]]]](if:$freq is false)[* [[How frequently are you having bowel movements?->Frequent Bowels]]](if:$diet is false)[* [[Have you made any recent changes to your diet?->Diet]]](if:$pain is false)[* [[Can you describe the stomach pain?->Pain]]](if:$travel is false)[* [[Have you travelled in the last few weeks?->Travel History]]](if:$travel is true)[(if:$food is false)[* [[Did you drink any natural, untreated waters on your trip?->food]]]](if:$travel is true)[(if:$social is false)[* [[Did any of the other campers get sick?->Social Network]]]]
What else would you like to do?
* [[Conduct a physical examination->Physical Exam]]
* [[Order lab tests->Laboratory]]
* [[Review Toby's medical history->Medical History]]
* [[I'm ready to diagnose and treat Toby Ryan ->Diagnosis and treatment]]
---
(text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]<img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/e_coli_twine.png" style="float: right;">
"Did any of the other campers get sick?"
<iframe width="560" height="315" src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/03/Ryan-campers.mp4" frameborder="0" allow="autoplay; accelerometer; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe>
[[Ask another question->What brings you in today]]
(set: $social to true)
---
(text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]<img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/e_coli_twine.png" style="float: right;">
"Have there been any changes to your diet?"
<iframe width="560" height="315" src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/03/diet.mp4" frameborder="0" allow="autoplay; accelerometer; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe>
[[Ask another question->What brings you in today]]
(set: $diet to true)
---
(text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]<img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/e_coli_twine.png" style="float: right;">
"Have you traveled recently?"
<iframe width="560" height="315" src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/03/travel.mp4" frameborder="0" allow="autoplay; accelerometer; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe>
[[Ask another question->What brings you in today]]
(set: $travel to true)
---
(text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]<img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/e_coli_twine.png" style="float: right;">
You complete the physical exam and note the following:
* Pulse: 69 bpm
* Blood Pressure: 134/72
* Temperature: 37.1 °C/98.8 °F
* Respiration Rate: 18 rpm
* Weight: 210 lbs
* Height: 6’2”
* BMI: 26.2
* O2 Sat: 98%
[[Return to the exam room->What brings you in today]]
---
(text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]"What can we do for you, Dr. $dr_name?
<img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/03/twine_background.png" width="800">
What tests do you order from the laboratory?
* [[Microscopic examination of blood]]
* [[Microscopic examination of stool]]
What else would you like to do?
* [[Return to the exam room->What brings you in today]]
* [[Review Toby's medical history->Medical History]]
* [[I'm ready to diagnose and treat Toby Ryan ->Diagnosis and treatment]]
---
(text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]<img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/03/Toby-Ryan-MH-1.png">
<img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/03/Toby-Ryan-MH-2.png">
This medical history is fictitonal. It does not reflect the actual health or behaviors of the actor.
(if:$knock is false)[[[Enter exam room 3->Knock]]]
(if:$knock is true)[[[Return to the exam room->Knock]]]
---
(text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]<img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/e_coli_twine.png" style="float: right;">
"How frequent are your bowel movements?" You ask.
<iframe width="560" height="315" src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/03/How-frequent-are-your-bowel-movements.mp4" title="How frequent are your bowel movements?" frameborder="0" allow="autoplay; accelerometer; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe>
(set: $freq to true)
[[Ask another question->What brings you in today]]
---
(text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]<img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/e_coli_twine.png" style="float: right;">
You knock and enter the room, immediately choked by a foul-smell. As a true professional, you blink away the tears and stiffle your gag reflex without expression.
Toby Ryan is sat partially hunched over on the exam room table. His face is red with embarassment.
[[Hello Toby, what brings you in today?->What brings you in today]]
(if:$knock is false)[<audio src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/03/door_opening.mp3" autoplay>]
---
(text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]<img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/e_coli_twine.png" style="float: right;">
Toby Ryan was infected with *Giardia lamblia*
Since this patient is in good health, symptomatic treatment and replenishing fluids should be sufficient to clear the infection.
#Credits
Talent
* Tody Ryan: Brian Bill
* Director: Brian Bill
* Game Design: Brian Bill
Images
* Giardia microscopy image: CDC, 1968 (https://phil.cdc.gov/Details.aspx?pid=21084)
* Normal blood smear: Keith Chambers (https://en.wikipedia.org/wiki/Blood_smear#/media/File:Normal_Adult_Blood_Smear.JPG)
* Nurse Erick Buchan: https://pixabay.com/photos/male-nurse-nursing-maintenance-5017719/
Music
Medical Examination by MaxKoMusic
https://soundcloud.com/maxkomusic
Video Link: https://youtu.be/35gGWOZepWc
#License
This content is published under the [[Createive Commons Attribution-NonCommercial 3.0 Unported (CC BY-NC 3.0)|https://creativecommons.org/licenses/by-nc/3.0/legalcode]]
You are free to share and adapt this material, but you must provide attribution. This material may not be used for commercial purposes
<img src="https://upload.wikimedia.org/wikipedia/commons/thumb/9/99/Cc-by-nc_icon.svg/1200px-Cc-by-nc_icon.svg.png" width="400px">
---
(text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]<img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/e_coli_twine.png" style="float: right;">
<img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/male-nurse-g2e06abd77_1920-1024x1024-1.jpg" width="400px" style="float: left;">
As you walk down the corridor, nurse Erick Buchan approaches with notes in hand.
"Dr. $dr_name, Toby Ryan is ready in exam room 3. His chief complaint is gastric pain and diarrhea lasting for one week," he says as he hands you a file.
"Thanks, Erick," you reply as you glance at the notes.
[[Enter exam room 3->Knock]]
[[Review Toby's medical record->Medical History]]
---
(text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]<img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/e_coli_twine.png" style="float: right;">
(set: $desc_diarrhea to true)
"Can you describe the diarrhea?" you ask.
<iframe width="560" height="315" src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/03/Describe_1.mp4" title="Describe your diarrhea." frameborder="0" allow="autoplay; accelerometer; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe>
[[Ask another question->What brings you in today]]
---
(text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]<img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/e_coli_twine.png" style="float: right;">
(set: $blood to true)
"Is there any blood in your stool?" you ask.
<iframe width="560" height="315" src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/03/blood.mp4" title="Describe your diarrhea." frameborder="0" allow="autoplay; accelerometer; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe>
[[Ask another question->What brings you in today]]
---
(text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]<img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/e_coli_twine.png" style="float: right;">
What is your diagnosis? (input-box:2bind $diagnosis,"X=")
What treatment do you reccomend? (input-box:2bind $treatmetn,"X=")
[[Submit Answers->End]]
---
(text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]<img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/e_coli_twine.png" style="float: right;">
"Can you describe the stomach pain?" You ask.
<iframe width="560" height="315" src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/03/cramps.mp4" title="Can you describe your stomach pain?" frameborder="0" allow="autoplay; accelerometer; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe>
[[Ask another question->What brings you in today]]
(set: $pain to true)
---
(text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]<img src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/e_coli_twine.png" style="float: right;">
"Did you drink any natural, untreated waters on your trip?"
<iframe width="560" height="315" src="http://www.billbrithescienceguy.com/wp-content/uploads/2022/03/Ryan-water.mp4" frameborder="0" allow="autoplay; accelerometer; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe>
[[Ask another question->What brings you in today]]
(set: $diet to true)
---
(text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]<img src="https://upload.wikimedia.org/wikipedia/commons/1/16/Normal_Adult_Blood_Smear.JPG" width="400px">
Fecal sample under 900X magnification.
* [[Return to the exam room->What brings you in today]]
* [[Review Toby's medical history->Medical History]]
* [[I'm ready to diagnose and treat Toby Ryan ->Diagnosis and treatment]]
---
(text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]<img src="https://phil.cdc.gov//PHIL_Images/21084/21084_lores.jpg" width="400px">
Fecal sample under 900X magnification.
* [[Return to the exam room->What brings you in today]]
* [[Review Toby's medical history->Medical History]]
* [[I'm ready to diagnose and treat Toby Ryan ->Diagnosis and treatment]]
---
(text-style:"italic")[The details of this case are fictitonal. It does not reflect the actual health or behaviors of the actor.]medical-background: http://www.billbrithescienceguy.com/wp-content/uploads/2022/04/Medical-Examination-Music.mp3