1. Step 1
1.1. Identify terms and cues
1.1.1. terms
1.1.1.1. firm
1.1.1.2. mammogram
1.1.2. cues
1.1.2.1. age 54 yo
1.1.2.2. female
1.1.2.3. normal mammogram 4 years ago
1.1.2.4. small firm, irregular lump in the left breast after self examination
1.1.2.5. regularly attends gym
1.2. 10 minutes
2. Step 2
2.1. Problem formulation (put it in a senates)
2.1.1. 54 year old female has a small firm irregular lump in her left breast after self examination. She didn't have any breast examination in the past 4 years.
2.2. 10 minutes
3. Step 3
3.1. Hypothesis generation (brainstorming)
3.1.1. tumor
3.1.2. hyperplasia
3.1.3. cyst
3.1.4. lipoma
3.1.5. normal lump
3.1.6. carcinoma
3.1.7. lymphadenoma
3.1.8. infection
3.1.9. trauma
3.1.10. hematoma
3.1.11. lymph adenititis
3.1.12. mastitis
3.1.13. benign tumor
3.1.14. broken ribs
3.1.15. pleural effusion
3.1.16. edema
3.1.17. calcification
3.1.18. breast lactation
3.1.19. sarcoma
3.1.20. ductal carcinoma
3.1.21. lobeilar carcinoma
3.2. 40 minutes
4. Step 4
4.1. Hypothesis organization (tentative solution)
4.1.1. neoplasia
4.1.1.1. benign
4.1.1.1.1. cyst
4.1.1.1.2. lipoma
4.1.1.1.3. lymphadenoma
4.1.1.2. malignant
4.1.1.2.1. carcinoma
4.1.1.2.2. sarcoma
4.1.2. others
4.1.2.1. lymph adenitis
4.1.2.2. mastitis
4.1.2.3. calcification
4.2. 20 minutes
5. Step 5
5.1. Formulate learning objectives
5.1.1. Anatomy
5.1.1.1. breast and surrounding structures
5.1.1.1.1. lymph nodes
5.1.1.1.2. nerves supply
5.1.1.1.3. muscles
5.1.1.1.4. blood supply
5.1.1.2. histology
5.1.2. Physiology
5.1.2.1. changes in menopausal period
5.1.2.2. the age of menopause
5.1.2.3. hormonal effects on the breast
5.1.3. Pathology
5.1.3.1. what causes firm irregular lump (in the left breast)?