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Pbl session 2 by Mind Map: Pbl session 2

1. Step 6

1.1. Review session 1

1.1.1. Summary of step 5 Anatomy Respiratory system (nerves, blood vessels, lymph vessels) physiology Respiratory system pathology Infection of respiratory system (Airborne) Immune deficiencies in relation with lungs pathophysiology Relate the symptoms together to one disease What causes chest pain in the right area?

1.2. Report new knowledge

1.2.1. Anatomy

1.2.2. Physiology

1.2.3. Patholog pneumonia epidemiology pathophysiology symptoms people at higher risk Types diagnosis Pulmonary TB Mycobacterium tuberculosis tuberculosis pneumonia acute bronchitis

2. Step 7

2.1. Inquiry plan and info gathering

2.1.1. history what did they treat for in the first visits? They thought it was flu No antibiotics described risk factors? Type 1 diabetic

2.1.2. vital signs wight 68 hight 150 temperature 39 c pulse 80 blood pressure 110/60 looks sick

2.1.3. stethoscope crackling sounds

2.1.4. tests results o2 saturation 88% hemoglobin is OK high WBC count High neutrophils ESR: high LDH: high phlegm culture no results yet C reacting protein: high Electrolytes are good Glucose 220 x ray showing pneumonia

3. Step 8

3.1. Diagnostic decision

3.1.1. Community acquired pneumonia (typical)

3.1.2. probably streptococcus pneumoniae

3.2. Mechanism

3.2.1. Inhalation of pathogen

3.2.2. passed to the right upper lobe

3.2.3. immune response causing inflammation

3.2.4. alveoli filled with fluid

3.2.5. decreased O2 passage to blood

3.3. Presentation

3.3.1. productive cough

3.3.2. fever and chills

3.3.3. chest pain in the right upper area

3.4. Supporting data

3.4.1. low O2 in blood

3.4.2. chest x-ray

3.4.3. high WBC count

3.4.4. ESR confirms inflammation

3.4.5. LDH proves hemolysis

3.4.6. elevated c reactive protein confirms inflammation

3.5. Objectives for next session

3.5.1. Management keep in mind he is diabetic type 1

3.5.2. prevention

3.5.3. intervention and treatment

4. Areas of improvement

4.1. Following the scribe

4.2. using the other screen for diagrams and animations

4.3. Shy students should be encouraged

4.4. citing resources