Module 8 · Anatomy & Physiology I
One crash. Two kinds of numbness.
In 2010, at thirty-five, a car ran a light and caught Stina’s door. The scans were clear and she was sent home lucky. Within two days a hot line of pain ran down the back of her left leg — and the numbness in both feet, which had been there for a year, finally had something to blame. This module builds nervous tissue from the neuron up and asks you to decide which of her symptomsSubjective experiences reported by the patient (e.g., nausea, fatigue). the crash caused, and which it was only blamed for.
The module’s question
Which of Stina’s nerve symptoms did the crash cause — and which was it only blamed for?
Animation · in production · about 2 min
Two Maps of Numbness
A car runs a light and strikes the driver’s door; the CT is clear. A hot line lights down the left leg to a clean-edged band — then both feet dim from the toes up while a calendar flips back a year.
Two minutes: two maps of numbness, one crash, and the question this module answers.
7 chapters
40 short animations
4 slides to study
35 things to explore, 11 of them games
70 quick checks
7 evidence boards
8 verdicts
Chart Clue #8
How this module teaches
- Animation (dark teal) — a short animated explainer, one idea each
- Slide (dark teal) — a still to study: a micrograph or a map
- Explore (purple) — something to push on while you watch
- Game (purple) — a quick challenge
- Think (gold) — reason it out, then spot-check yourself with a few true/false questions; not graded
- Check (gold) — a quick H5P that scores itself
Every chapter ends with an evidence board and a verdict you build from statements that hold up — no essays, and nothing is sent anywhere. The finding is open to read whenever you want it.
Where this module sits in Stina’s life
1977 · age 2
First fever · Clue #1
2009 · age 34
Both feet “off” — blamed on shoes
2010 · age 35
Mom dies; the crash · this module
Months later
Numb both sides, “positional”
2015 · age 40
An antibody spike: MGUS · first discectomy
Early forties
“Ten folders”
11 May 2026 · 51
The call · diagnosis
Forty-nine years between the first fever and the name. This module sits at thirty-five.
The case this module reads
Her scans are clean and her strength is normal. But two different kinds of numbness sit on the same chart — one sharp-edged and one-sided, one fading and symmetric — and the second one started before the crash that everyone blamed for it.
From Stina’s diary
“The numbness in my feet is on both sides. The neurologist wrote that down and never wondered about it, because the car accident was there to take the blame.”
Patient chart · Stina · 2009–2010
| Age 34 | Both feet “fall asleep” — blamed on shoes and long days standing in the lab |
|---|---|
| Age 35 | T-boned; CT clear; “lucky,” muscle strain |
| Day 2 | Hot stripe of pain down the back of the left leg; numb band on the outer shin and top of the foot |
| Months later | Strength normal; light touch and vibration reduced in both feet |
| Nerve study | Signals present but slowed |
| Blood | An antibody against a nerve protein |
Seven chapters, seven decisions
Each chapter opens on the chart and ends with a verdict you defend. Work them in order — later chapters assume the evidence you collected earlier.
1
8.1 The Crash
Organization and the neuron.
You decide: Where would you look first — the spinal cordThe central nervous system structure that relays signals between the brain and body., or the nerves?
5 animations · 5 things to explore (1 game) · 1 slide · 10 quick checks · 1 evidence board · 1 verdict
2
8.2 Wires and Insulation
Glia, myelin and MAG.
You decide: Sick neuronsThe functional cells of the nervous system that transmit signals., or sick wrapping?
5 animations · 5 things to explore (3 games) · 1 slide · 10 quick checks · 1 evidence board · 1 verdict
3
8.3 The Spark
Membrane potentials and the action potentialA rapid, temporary electrical charge that travels along neurons, allowing signal transmission..
You decide: A dead wire, a stripped wire, or a weak battery?
6 animations · 5 things to explore (2 games) · 10 quick checks · 1 evidence board · 1 verdict
4
8.4 Crossing the Gap
The synapseThe junction between two neurons where communication occurs. and its chemistry.
You decide: Could her antibody be jamming the handoff?
5 animations · 5 things to explore (2 games) · 1 slide · 10 quick checks · 1 evidence board · 1 verdict
5
8.5 When the Insulation Frays
Demyelination and anti-MAG.
You decide: Was the crash the cause, a trigger, or a coincidence?
6 animations · 5 things to explore (2 games) · 10 quick checks · 1 evidence board · 1 verdict
6
8.6 Mapping the Numbness
Sensory receptorsProteins located on the surface or inside cells that bind specific molecules (e.g., neurotransmitter and dermatomes.
You decide: Can one cause draw two maps?
6 animations · 5 things to explore (1 game) · 10 quick checks · 1 evidence board · 1 verdict
7
8.7 Antibody-Associated Neuropathy
The nerve chart, read whole.
You decide: Part of her lifelong inflammation, or a second disease beside it?
5 animations · 5 things to explore · 1 slide · 10 quick checks · 1 evidence board · 1 verdict
8 · Conclusion and Assessment
The module verdict, then a self-scoring review
9 · The Evidence Behind the Case
Check our reasoning against the literature
By the end you can
- Describe how the nervous systemThe organ system that controls body functions using electrical and chemical signals. is organized — CNSComposed of the brain and spinal cord; integrates and processes information. and PNS, sensory and motor, somatic and autonomic — and use the terms nerve, tract, nucleusThe control center of the cell that contains DNA and directs cellular activities. and ganglionA cluster of neuron cell bodies located in the peripheral nervous system (PNS). correctly. (Ch 1)
- Identify the parts of a neuron, classify neurons by structure and by function, and recognize a neuron, a nerve and a ganglion under the microscope. (Ch 1, Ch 2, Ch 6)
- Describe the neuroglia of the CNS and PNS, explain how Schwann cellsPNS glial cells that form the myelin sheath around peripheral nerve fibers. and oligodendrocytesGlial cells in the CNS that form the myelin sheath around axons. build myelin, and explain why white matterThe outer portion of the spinal cord made of myelinated nerve fibers that transmit signals. is white. (Ch 2, Ch 5)
- Explain the resting membrane potential: the ion gradients, leak channelsProtein passages in the cell membrane that allow specific molecules to pass through. and the Na⁺/K⁺ pump that hold it. (Ch 3)
- Compare graded potentials with action potentials, and explain EPSPs, IPSPs and temporal and spatial summationThe addition of multiple signals from different synapses at the same time. at the trigger zone. (Ch 4)
- Explain thresholdThe minimum voltage needed to trigger an action potential., the phases of the action potential, the all-or-none rule and the refractory periods in terms of ion channels. (Ch 3)
- Explain continuous and saltatory conductionThe rapid transmission of impulses in myelinated axons by jumping between nodes of Ranvier., what sets conductionThe transmission of nerve impulses along neurons. speed (fiber groups A, B, C), and what demyelination and axon loss each do to a nerve study. (Ch 2, Ch 3, Ch 5)
- Describe chemical and electrical synapsesSynapses where cells are directly connected by gap junctions; allow rapid signal transmission., the calcium-triggered events of synaptic transmission, the major neurotransmittersChemicals released by neurons to transmit signals across a synapse. and their receptors, how a signal is ended, and the basicA solution with a pH above 7, having a lower concentration of H⁺ ions. neural circuits. (Ch 4)
- Classify sensory receptors by stimulus, location and structure, and explain receptive fields, two-point discrimination and adaptation. (Ch 2, Ch 6)
- Use a dermatome mapA diagram showing which spinal nerves correspond to specific skin regions. to localize a sensory deficit to a spinal root, and tell a one-root stripe from a length-dependent ‘stocking’ pattern. (Ch 1, Ch 5, Ch 6)
- Explain how antibody-mediated demyelination (anti-MAG) produces a slow, symmetric, sensory-predominant, length-dependent neuropathy. (Ch 2, Ch 5, Ch 7)
- Weigh evidence to separate an injury from a systemic disease, and judge how strongly the literature links Stina’s neuropathy to her lifelong inflammation. (Ch 5, Ch 7)
Reliable information on rare diseases
NORD · NIH GARD · Orphanet · MedlinePlus Genetics: FMF · FMF & AID Global Association · Autoinflammatory Alliance · Global Genes · Amyloidosis Foundation
Stina has one rare disease. In the United States, about 1 in 10 people live with one of the more than 7,000 known rare diseases. These organizations are where patients, families and clinicians go for trustworthy information.
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← Familial Mediterranean Fever — case home
All Modules
- Anatomical Language, Membranes & Homeostasis
- Just Enough Chemistry
- The Cell & Its Transport
- Making Cells & Proteins
- The Integumentary System
- The Skeletal System
- The Muscular System
- Nervous Tissue & the Senses
- The Spinal Cord
- The Brain & the Blood–Brain Barrier
- The Autonomic Nervous System
- Special Senses (in developmentThe process of growth and differentiation.)
- The Endocrine System
- Blood
- The Heart
- Blood Vessels
- The Digestive System
- The Respiratory System
- The Urinary System
- Fluids, Electrolytes & Acid–Base Balance
- The Reproductive System
- The Immune System
List of terms
- symptoms
- spine
- ribs
- spinal cord
- neurons
- action potential
- synapse
- receptors
- nervous system
- CNS
- nucleus
- ganglion
- Schwann cells
- oligodendrocytes
- white matter
- channels
- spatial summation
- threshold
- saltatory conduction
- conduction
- electrical synapses
- neurotransmitters
- basic
- dermatome map
- development