1. Step 6
1.1. Review session 1
1.1.1. Report new knowledge
1.1.1.1. Anatomy
1.1.1.2. Physiology
1.1.1.3. Pathology
2. Step 7
2.1. Inquiry plan and info gathering
2.1.1. history
2.1.1.1. No hypertension
2.1.1.2. No wight gain
2.1.1.3. No diabetes
2.1.1.4. No lupus
2.1.1.5. history of preview pregnancy
2.1.1.5.1. no symptoms, only nausea
2.1.1.5.2. no preeclampsia
2.1.1.6. Quite smoking
2.1.1.7. No frequent urination
2.1.1.8. No other diseases
2.1.1.9. UTI 3 years ago
2.1.2. vital signs
2.1.2.1. heart rate
2.1.2.2. breathing
2.1.2.3. o2
2.1.2.4. blood pressure
2.1.2.5. temperature
2.1.3. exam
2.1.3.1. no rash
2.1.3.2. no pigmentation
2.1.3.3. no edema
2.1.3.4. no vision channge
2.1.3.5. no headach
2.1.3.6. suprapubic tenderness
2.1.4. tests results
2.1.4.1. protein (albumen, creatinine)
2.1.4.2. e.coli present
2.1.4.2.1. resistant to penicillin
2.1.4.2.2. sensitive to augmentin
2.1.4.3. WBC count
2.1.4.3.1. elevated necrophiliacs
2.1.4.3.2. elevated c reactive protein
2.1.4.4. ultrasound
2.1.4.4.1. baby girl healthy
2.1.4.4.2. done 16 weeks
3. Step 8
3.1. Diagnostic decision
3.1.1. UTI infection (asymptomatic cystitis) with E.coli
3.2. Mechanism
3.2.1. previous infection without completing the course of antibiotic
3.3. Presentation
3.3.1. tenderness in suprapubic area
3.3.2. asymptomatic
3.4. Supporting data
3.4.1. high WBC
3.4.2. previous infection
3.4.3. high protein in urine
3.4.4. positive culture for e.coli
3.5. Objectives for next session
3.5.1. Treatment
3.5.1.1. contraindications (in pregnancy)
3.5.2. Management & prevention
3.5.2.1. individual and social levels
3.5.2.2. how to manage pregnancy symptoms