Rough draft.This research track is under review with Dr. Atit's lab. Content and sequence may still change.

Here's an example of what's due today

The Cleft Nose and Its Repair

Anatomical domain · Lesson 17 of 20 · Human Body Systems (HBS)

Today's goal: Describe the cleft nasal deformity (asymmetric ala, short or deviated columella, deviated septum) and explain why definitive rhinoplasty is timed to nasal growth.

Learn first

What a finished product looks like

This is a model of the work you should turn in. Use it to check your own: match the structure and the level of detail, do not copy it. Your wording should be your own.

Nose findings sort + timing

Completes: A sorted inside/outside table of nasal findings with a timing recommendation.

Outside the nose: flattened left ala; short columella (leaning toward the non-cleft side).

Inside the nose: deviated nasal septum (about 92 percent of CL/P patients on CBCT, versus about 80 percent of controls); thickened maxillary sinus lining.

Timing: I recommend the definitive septorhinoplasty in the teen years, after nasal growth is complete, because a primary infant rhinoplasty tends to relapse and later growth would undo an earlier definitive repair.

Learn first

How this was built, step by step

The finished product above did not appear all at once. Here is the path from the question to the turned-in work, so you can follow the same steps.

1Start from today's question: How does a distort the nose, on the outside and on the inside, and when do we do the definitive repair?
2Work the Model and the Explore questions to reason it out before writing anything.
3Pull the specific evidence the product needs from the reading and any database you used.
4Write it up in the required format: Chart Mateo's nose. Sort four findings into "outside the nose" or "inside the nose": flattened left ala, deviated septum, short , thickened sinus lining. Then write one sentence recommending when to do his definitive and why that timing.
5Check it against the rubric, then submit.

How this is graded (rubric)

For: Chart Mateo's nose. Sort four findings into "outside the nose" or "inside the nose": flattened left ala, deviated septum, short columella, thickened sinus lining. Then write one sentence recommending when to do his definitive septorhinoplasty and why that timing.

Criterion	Proficient	Developing	Beginning
Complete	Every required part of the artifact is present and filled in.	Most parts are present, but one is missing or left blank.	Several parts are missing.
Accurate	The science and data are correct and match the evidence.	Mostly correct, with a small factual slip.	Key science or data is wrong.
Scientific reasoning (CER)	States a claim, backs it with specific evidence, and explains the reasoning.	Has a claim and evidence, but the reasoning is thin or missing.	Gives an answer with no evidence or reasoning.
Professional communication	Clear, organized, and labeled the way a clinician or scientist would write it.	Readable but disorganized or missing labels.	Hard to follow.
Submitted	Turned in the right way (Schoology for routine work) and confirmed.	Turned in, but in the wrong place or unconfirmed.	Not turned in.

How the model answer scores against this rubric

CompleteProficient: Nothing is left blank: the model fills every part of "Chart Mateo's nose. Sort four findings into "outside the nose" or "inside the nose": flattened left ala, deviated septum, short columella, thickened sinus lining. Then write one sentence recommending when to do his definitive septorhinoplasty and why that timing.".
AccurateProficient: Every number and claim matches the case evidence.
Scientific reasoning (CER)Proficient: It names a claim, cites the specific evidence, and explains the reasoning, not just the answer.
Professional communicationProficient: It is organized and labeled like a real chart note.
SubmittedProficient: It would be turned in on Schoology and confirmed.

Check yourself

WebXam problem for today's skill

One exam-style question that uses exactly what you practiced today. Try it before you reveal the answer, then read why each choice is right or wrong.

WebXam-style domain: Structure and Function (HBS, head and neck)Self-check skill: Recognizing the cleft nose as both an external deformity and an internal airway problem

On CBCT, about 92 percent of cleft lip and palate patients had a deviated nasal septum, versus about 80 percent of non-cleft controls, along with more abnormal conchae. Outwardly the cleft side ala is flattened and the columella is short. Why is the cleft nose more than a cosmetic problem?

Tap an answer to see the full explanation. Nothing is recorded or graded.

Back to this lesson