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Case library

Choose a practice case

Each case is a fictional San Antonio resident whose health concern sits alongside structural access barriers — travel time, housing conditions, clinic hours, language access. You choose priority questions, mark only the risks the case supports, judge urgency, and plan referrals, then read feedback against that case's answer key.

The cases come in pairs. Each pair shares a subject area but turns on a different decision, so the same set of facts does not always lead to the same answer.

New to SA HealthPath?

Start with an Introductory case to learn the sequence.

Introductory Intermediate Advanced

Heat and chronic disease

Two contrasting cases

Case 1 of 2Introductory
5 min

Heat Risk & Chronic Disease

A neighbor reports that an older adult living with diabetes seems confused inside a home with no working cooling during extreme heat.

HeatDiabetesOlder adultsEmergency recognition
Begin Case

Good starting point

Case 2 of 2Introductory
5 min

Heat Exposure Without Symptoms

An older adult with high blood pressure has had no cooling for two days during an extreme-heat advisory, feels well, and has a daughter with air conditioning who can host her today.

HeatPreventionOlder adultsChronic disease
Begin Case

Good starting point

Food access and transport

Two contrasting cases

Case 1 of 2Introductory
5 min

Food Insecurity & Transportation Barrier

A parent of two young children has food for tonight only and no reliable way to reach food assistance or a pediatric clinic.

Food accessTransportationChild healthBenefits
Begin Case

Good starting point

Case 2 of 2Intermediate
6 min

Food Available, Route Not Reachable

A man with food assistance nearby cannot reach it: the pantry is four miles away on a road with no footpath, and the on-demand van service does not list his part of the city.

Food accessTransportationService zonesVerification
Begin Case

Some complexity

Housing and child health

Two contrasting cases

Case 1 of 2Intermediate
6 min

Housing Instability & Child Health

A parent facing eviction reports her 8-year-old's asthma has worsened since moving in with relatives, and his rescue inhaler is nearly empty.

HousingAsthmaChild healthLegal aid
Begin Case

Some complexity

Case 2 of 2Advanced
6 min

Child's Breathing Emergency During a Housing Move

A father calls about shelter paperwork, and mid-call describes his 6-year-old struggling to breathe with no relief from her inhaler.

AsthmaEmergency recognitionHousingChild health
Begin Case

Complex decision-making

Behavioral health and safety

Two contrasting cases

Case 1 of 2Advanced
7 min

Behavioral Health & Safety Escalation

A Veteran who has withdrawn for three weeks describes thoughts of not wanting to wake up, and there is a firearm in the home.

Behavioral healthVeteransCrisis supportMeans safety
Begin Case

Complex decision-making

Case 2 of 2Intermediate
6 min

Distress Without Disclosed Danger

A woman who lost her job three weeks ago describes constant worry and broken sleep, and says clearly that she has no thoughts of harming herself.

Behavioral healthDistressConsentFollow-up
Begin Case

Some complexity

Language access and maternal health

Two contrasting cases

Case 1 of 2Advanced
7 min

Language Access & Maternal Health

A pregnant resident who speaks an Indigenous language from Oaxaca has had no prenatal visits at about 32 weeks and reports no warning signs today.

Maternal healthLanguage accessPrenatal careInterpretation
Begin Case

Complex decision-making

Case 2 of 2Advanced
6 min

Urgent Maternal Warning Sign With a Language Barrier

A pregnant resident at about 30 weeks describes a severe headache that will not go away and changes in her vision, relayed through a neighbor, and no interpreter in her language is available yet.

Maternal healthEmergency recognitionLanguage accessInterpretation
Begin Case

Complex decision-making

Independent educational project by Michael Richard Martin, MPH. Not affiliated with or endorsed by any agency. Simulated cases are for education only and are not medical advice.

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