22.8 Conclusion and Assessment

MODULE 22 · CONCLUSION & ASSESSMENT

Twenty clues, one mechanism

You now hold the immune system — innate and adaptive arms, the lymphatic organs, inflammation and antibody-mediated memory. Here the whole course closes: every clue on the board, traced to a single defect.

Repeatedly negative ANA, rheumatoid factor and anti-dsDNA are not an absence of evidence. They are the evidence. Her adaptive immune system is not attacking her, and that rules out an entire category of disease.

What remains is the innate arm: abrupt, stereotyped, fever-driven flares with sterile cultures and no antibiotic response. A hair-trigger pyrin inflammasome floods the system with IL-1β, serum amyloid A follows, and amyloid deposits. One pathway, twenty clues.

AUTOIMMUNE

The adaptive arm, targeting self

Autoantibodies and self-reactive lymphocytes. Serology is positive, and onset is usually gradual.

AUTOINFLAMMATORY

The innate arm, firing without a target

No autoantibodies. Abrupt stereotyped fevers, sterile inflammation, and a response to IL-1 blockade rather than to immunosuppression.

CLUE #22

Twenty clues, one mechanism, one diagnosis. This entry joins the diagnostic timeline the whole course is assembling.

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These activities assess the module as a whole — every part, not just one. Work down from low-stakes self-check to the graded quiz, then consolidate. Each H5P box below is waiting for its shortcode id.

DIALOG CARDS · All parts

Module 22 Flashcards: Term → Meaning

Flip every core term the module introduced, in both directions.

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FIND THE WORDS · All parts

Module 22 Word Search

Recognize the module’s vocabulary in a grid — a painless first pass.

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CROSSWORD · All parts

Module 22 Terms Crossword

Definitions to terms across the whole module’s vocabulary.

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MEMORY GAME · All parts

Match the Structure to Its Function

Pair each structure this module built with what it actually does.

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QUESTION SET · All parts

Module 22 Mixed Review

A mixed check drawing one or two questions from every part.

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QUESTION SET · All parts

Module 22 Image Check

Picture questions — identify structures on diagrams and slides.

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SUMMARY · All parts

Module 22 Key Takeaways

Choose the statement that survives scrutiny in each set.

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DRAG THE WORDS · Part 7

The Distinction in One Sentence

Rebuild the sentence that separates autoimmune from autoinflammatory.

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Every clue on the board now traces to one mechanism. What began as twenty-one unrelated emergencies is a single diagnosis, arrived at decades late — and readable, in hindsight, from the very first entry in the chart.

List of terms