BIO 304 · Human Anatomy & Physiology
Immune System Case Passport
Lymphatic & Immune · Module 12
One case. Three panels. Drawn by hand.
This week you build a single three-panel case drawing on plain paper. No printer needed. Panel one is the normal anatomy and physiology, panel two is what goes abnormal in the case, and panel three is the treatment, drawn onto the same pathway so you can see exactly where each treatment acts and how. This screen is your coach: it walks you through each panel one step at a time. Given, not Googled. The learning happens in your hand.
How to work it
Draw the three panels in order. Each one is a chapter of Marcus's case: normal, then abnormal, then treatment. When you finish you own one hand-made case poster that is worth far more before an exam than any typed notes.
What your paper looks like
Vertical panels
Horizontal rows
Set up one sheet either way: 1 Normal, 2 Abnormal, 3 Treatment. Pick whichever fits, but all three panels go on one page.
Draw every panel yourself, on paper, with pencil, pen, or colored pencils. Not on an iPad or any device, and not with AI. All three panels must go on one page, and you upload that single page. One page only, and more than one page loses points, because following directions is part of the grade. Your drawings will be checked, so make them your own.
This course feeds a lot of fields: EMS and paramedic programs, radiologic technology, and mortuary and funeral service, among others. Every panel carries a Field note connecting the anatomy to what you will actually see in your work.
Learning objectives
- Draw the normal anatomy and physiology of lymphatic drainage and the immune response to a skin breach.
- Diagram what goes wrong in a spreading wound infection: the abnormal anatomy and physiology.
- Research one first-line drug for the case, show its mechanism in plain language, and demonstrate its impact by drawing a before and after, not by writing.
- Distinguish active from passive immunity using the case.
- Narrate the whole case, normal to abnormal to treatment, from your own drawing.
What you are making: the normal pathway, intact defenses, lymphatic drainage, and the full immune response that clears a small breach and leaves memory behind.
Before we break anything, draw how Marcus's body is supposed to work. This is the normal that every abnormal finding in panel two is measured against.
Every field starts from normal. A medic, a rad tech, and an embalmer can only recognize "wrong" because they know "normal" cold. This panel is your normal.
Step 1 of 6
- At the top, draw a foot with intact skin. Label the skin as the first-line barrier (physical, plus acid and normal flora). Note: normally this keeps bacteria out entirely.
- Below it, draw the lymphatic route: lymphatic capillary → vessel with valves → inguinal (groin) node → up to the thoracic duct → left subclavian vein. This returns leaked fluid and lets nodes screen for invaders.
- Draw a normal lymph node on the route. Show B cells in the cortex and T cells in the paracortex. Label it "surveillance checkpoint."
- Draw the normal response to a tiny breach, with arrows along the pathway: innate first responders (neutrophil, then macrophage) → a dendritic cell carries antigen to the node → activates helper T (CD4) and B cells → B cells make antibodies (IgM first, then IgG) and memory cells; a cytotoxic T cell handles any infected cells.
- In the corner, draw a small antibody-response graph: a low, slow primary curve, then a fast, tall secondary curve. Label it "memory equals a fast second response. A vaccinated person is already here."
- Write the one-line normal summary: the barrier holds, and if it is breached, innate plus adaptive immunity clear the invader and leave memory behind.
What you are making: the same pathway, marked to show exactly what goes wrong in Marcus's case. Use a second color for every abnormal finding.
Now it is Marcus, two days after the nail. Redraw the pathway and mark every place it breaks.
The red streak climbing a limb is a "call it in" sign in the field. It means infection is moving up the lymphatics faster than the body is filtering it. Recognizing it early changes what happens next.
Step 1 of 6
- Draw the nail puncturing the foot and breaking the skin barrier. Label it "barrier breached; bacteria driven deep into low-oxygen tissue."
- Draw the lymphatic vessel inflamed and red along its length: the red streak (lymphangitis). Label it "infection climbing the lymphatics."
- Draw the groin node swollen and tender (lymphadenopathy). Label it "node overwhelmed, fighting hard."
- Add the systemic sign: fever. Label it "pyrogens reset the thermostat on purpose. Abnormal, but working for him."
- Show the danger. If Marcus has no tetanus memory (never vaccinated or lapsed), draw a large X over the memory and fast-secondary step. Label it "no memory equals only a slow primary response, too slow if a toxin is being made."
- Write the one-line abnormal summary: barrier breached, infection climbing, node overwhelmed, and no immune memory to shortcut it.
What you are making: you research one first-line drug for this case, show what it does in plain terms, and prove its impact on the pathway with a before-and-after drawing, pictures, not paragraphs.
Now fix Marcus. Every treatment works at a specific spot on the pathway you just drew. Show where, and show how.
This is the tetanus decision every EMS and ER clinician makes on a puncture wound, and the reason people who work around blood and bodies keep their own shots current.
Step 1 of 6
- Pick ONE first-line drug from this case to research: the antibiotic that fights the wound infection, the tetanus vaccine (Tdap) that builds Marcus's own immunity, or tetanus immune globulin (TIG) that lends antibodies right now. Write only the name you chose on your panel, then look up in plain terms what it does.
- Capture the mechanism as a plain-language idea, not a paragraph. Three to five words or a small symbol, for example "kills the bacteria," "teaches memory," or "borrowed antibodies now." That is all the text this drug gets.
- Draw the drug acting at its exact spot on the pathway: an arrow from your drug to where it works. Antibiotic to the bacteria in the tissue and lymphatics; vaccine to the B cell and memory step; TIG to the bloodstream.
- Demonstrate the impact with a picture, not words, using a before-and-after. Antibiotic: bacteria thick along the red streak, then dying and the streak fading. Vaccine: no memory, then memory cells and a tall fast secondary curve. TIG: toxin loose in the blood, then antibodies clamped onto it. Let the two drawings carry the message.
- Follow the impact down the pathway with drawing only: show the infection retreating and the node calming as your drug takes effect. Arrows and simple before-and-after marks, no sentences.
- The real test. Tell Marcus's whole case out loud, and when you reach treatment, say in plain language how your chosen drug works and point to your before-and-after drawing. Write the single hardest sentence to say from memory, and re-draw that spot.
Why you draw it, and how to use it
Why drawing it works
- Drawing from memory is retrieval practice: pulling the answer out of your own head is what builds lasting memory, far more than rereading.
- Turning words into a picture is dual coding, so you store each idea twice and can find it faster on exam day.
- One running case ties it together, so you remember it as a story, not a pile of facts.
- Redrawing the part you got wrong is the effortful practice that actually sticks.
How to get the most out of it
- Draw each panel from memory first. A little struggle is the point, do not peek.
- Keep the video and your book open. Pause, look things up, and add what you missed.
- Say the case out loud from your own drawing. If you can tell it without notes, you know it.
- Go back and redraw whatever was hardest to say.
How AI helps, and how it does not
- Good uses: ask it to quiz you after you draw, or to explain a term you are stuck on.
- Not a shortcut: it cannot draw your page or tell your case for you. If it does the work, you skip the exact thinking the exam will test.
- The drawing in your own hand is the assignment, and the one thing AI cannot hand back to you.
The answer key is your self-check
- It stays locked until after the due date, so there is nothing to copy while you work.
- Once it unlocks, open Show me the target on each panel and compare it to what you drew.
- It is not a picture to trace. It is a short checklist of what your panel should show, so you can catch what you missed and fix it.