How to run a web-HUMAN patient
Newer / advanced features
The document immediately below concentrates on the more advanced and novel aspects of how to run and diagnose patients.
The original Patient section in the Coleman (and Coleman/Randall) HUMAN model has been expanded in web-HUMAN to allow for new physiological learning capabilities.
The new features include 1) a mode with open access to all physiological variables, 2) a Hints section that leads the user down one or more useful investigative pathways and 3) an analysis/ diagnosis section that shows the user how the case was created in HUMAN and sometimes explains the relevance of the results obtained by the user in the Hints procedures and how to possibly stabilize ("cure") the condition.
The general framework of the basic mechanics of how to run a patient was described in the previous document.
The following sections are available in this document.
1) Review- how to run patient 2) Clinic vs. Lab patients 3) Hints section 4) Analysis / Diagnosis section
I. Review- How to run a web-human patient (Review - skip this section )
At the opening screen select the Run a HUMAN Patient option (see below)
This leads to the main patient selection screen (see below)
Each of the five major options (Summary, etc.) in this table are described below or in the previous document.
Note that the second ("Clinic*") and third ("Lab**") options are ones that actually run a Patient.
A] Summary - column one
Identifies the patient, almost always via symptoms.
These patient descriptions replace the previous numerical (e.g. Patient #1) or name only (e.g. Mr. Otto Regulation) designations.
They derive their information from the <Your Patients Chart> section of the model but sometimes add additional helpful non-chart derived information/hints.
B] Emergency Clinic* - column two
This links actually runs the selected patient within the HUMAN model and then leaves the user to puzzle out, from further model-derived information, the diagnosis. Always ask for <Your Patients Chart> at the first available opportunity.
See below for the results of clicking on Go to Clinic for the 'Motorcycle accident' patient.
Notice that initially only vital sign information is presented (see above) and that more information can be derived by next selecting <Your Patients Chart> (left) and simply clicking the <Go> option.
C] Physiology Lab** - column three
The same above procedure holds also for the Go to Lab (column 3) option.
This link also actually runs the selected patient within the HUMAN model and presents the user with an identical initial vital signs readout.
II. The difference between running a Emergency Clinic* and Physiology Lab** patient
The original Patient section in the Coleman HUMAN model allowed for Patients to be run but restricted user access to much of the physiological model information while in this "Patient mode." The idea apparently was to present vital signs, allow only modest, restricted access to <Charts> and variables information and have the user come up with a diagnosis on that basis. This restrictive behavior corresponds to running a patient in the web-HUMAN Emergency Clinic mode.
This Clinic mode is accessed via clicking on the column 2 Go to Clinic link for that patient.
We have created an alternate mode, the Physiology Lab patient mode, in which access to variables, parameters and <Patient Charts or Lab tests:> in unrestricted. Users can thus investigate the underlying physiology themselves while working towards a diagnosis. This open access ability is exploited further in the Hints section.
This Lab mode is accessed via clicking on the column 3 Go to Lab link for that patient.
The following compares responses to asking for <Patient Charts or Lab tests:> in the two modes.
The results of the request compared:
Emergency Clinic Physiology Lab
III. The Hints section
Column 4 is new to web-HUMAN, containing a Hints section that leads the user down one or more useful investigative physiological pathology pathways. It takes advantage of the open access available to users via the new Physiology Lab mode and suggests one or more strategies for investigation of the underlying physiological situation.
For example, clicking on the Mr. Styles case Hints reveals a Hints page parts of which are shown below:
VI. The Analysis/Diagnosis section
The new analysis/ diagnosis section (column 5) shows the user
- how the case was created in HUMAN
- explains the relevance of the results obtained by the user in the Hints procedures and
- suggests how to possibly stabilize the patient / cure the condition.
This section requires user login (left) after which the relevant
analysis link is revealed (right).
For example, clicking on the "Poor health, feet swell" case analysis/ diagnosis after login reveals an Analysis page parts of which are shown below: