At the printer: pages 1–3 are the student packet. Page 4 is the TEACHER KEY —
set the print range to 1-3 for class copies. Turn Background graphics ON and use
Letter, portrait.
Case 1 · Afterschool Sports
Case Worksheet · 1
Detective (name)PeriodDate
The case: four students came to the health office after sports on a hot
summer evening. Collect the evidence, then decide which patient is most probable to be
truly sick.
Part A · Collect the evidence
Copy each patient's vital signs from the intake forms. Then
circle every number that is OUTSIDE its normal range.
| Vital sign | Normal range |
P1 Marcus | P2 Aaliyah | P3 Sofia | P4 Ethan |
| Activity | — |
| | | |
| Pulse (bpm) | 60–100 |
| | | |
| Temperature (°F) | 97.8–99.1 |
| | | |
| Resp. rate (/min) | 12–18 |
| | | |
| Blood pressure | 90/60–120/80 |
| | | |
| Symptoms reported | — |
| | | |
Part B · What does "probable" mean?
ImpossibleUnlikely
PossibleProbable
Certain
1Probable means more likely to be true
than not. In your own words: what makes an answer the most probable one?
The most probable answer is the one that ______.
Interrogate the Evidence
Case Worksheet · 2
Detective (name)PeriodDate
Remember: hard exercise can raise pulse, breathing, and temperature
a little — and those effects fade with rest. Illness does not care whether you played.
Part C · The exercise alibi
For each patient: did they exercise hard? Can that explain their
circled numbers?
| Patient | Exercised hard? (yes / no) |
Circled numbers exercise COULD explain |
Circled numbers exercise CANNOT explain |
| P1 Marcus | | | |
| P2 Aaliyah | | | |
| P3 Sofia | | | |
| P4 Ethan | | | |
2One patient did not play at all. Why
does that make their unusual vital signs harder to explain away?
Because they did not exercise, their numbers cannot be explained by ______,
so ______.
3One patient feels cold even though their
temperature is high, and is thirsty even though they have been drinking. What might these
clues tell a detective?
Detective habit
A number can be high but inside the range (interesting) or outside the range
(serious). Treat them differently — that is what the ranges are for.
Deliver Your Verdict
Case Worksheet · 3
Detective (name)PeriodDate
Your verdict is a probability, not a promise. A good detective argues
both sides — then decides.
Part D · The verdict
4Which patient has the highest probability
of being truly sick? Circle ONE:
P1 MarcusP2 AaliyahP3 SofiaP4 Ethan
5Give at least 2 reasons, using the
evidence, why this patient may really be sick.
Reason 1: their ______ is ______, which is outside the normal range of ______,
and exercise cannot explain it because ______.
Reason 2:
Part E · Argue the other side
6Now give at least 2 reasons the SAME
patient might not be sick after all. (What else could explain the numbers or
symptoms?)
Maybe ______ instead, because ______.
7After arguing both sides — where does your
patient land on the ladder: possible, probable, or certain? Why?
Case 1 · Teacher Key
TEACHER ONLY
Do not copy this page for
students. Print range 1-3 for the class packet.
The verdict: Patient 3 — Sofia Reyes
The crack in the case is the alibi. Sofia is the only one who did not exercise — she
watched the game — so exertion cannot explain any of her numbers:
- Temperature 101.6 °F — far above range. The 6 p.m. daily peak explains a few tenths,
not 2.5 degrees. Feeling cold while hot = chills, the signature of a rising fever.
- Blood pressure 86/54 — the only vital in the whole case that is below a range
boundary. With fever and constant thirst despite drinking, dehydration from illness fits.
- Pulse 110 — out of range with no exercise to blame; fevers push the pulse up.
- Symptoms cluster: chills + dizziness + unquenched thirst has no innocent sports story.
Reasons she might NOT be sick (Part E examples): the gym could have been cold-air-conditioned
(explains feeling cold, not 101.6); she may not have drunk as much as she thinks; one visit is
one data point — a re-check in 15 minutes could look different; a hoodie in a warm gym can
hold heat in.
Why the others are less probable
- P1 Marcus (temp 100.2, BP 94/62) — worked out in full pads in summer heat, measured
at the daily temperature peak. Likely overheated and thirsty from exertion. Watch him, rest
and water, re-check — but exercise offers a full alibi. Closest second; some students will
argue heat illness, which is a defensible answer if reasoned well.
- P2 Aaliyah (pulse 116, resp 24) — just won her match minutes ago: exertion plus
adrenaline explains fast heart, fast breathing, shaking, dizziness. Both numbers should fall
quickly with rest.
- P4 Ethan (resp 21, everything else high-in-range) — played a full game; mildly
elevated everything is exactly what a recent soccer match looks like.
Grading Parts D-E: accept any patient IF both "may be sick" reasons cite evidence
(a number + its range, or a symptom) and both "may not" reasons offer a real alternative
explanation. The reasoning is the skill; Sofia is the best-supported answer, not the only
acceptable one.