1. Step 1
1.1. Identify terms and cues
1.2. New terms
1.2.1. jenitor
1.2.2. phlegm
1.3. cues
1.3.1. male
1.3.2. mid-30
1.3.3. coughing phlegm and blood associated
1.3.4. course of antibiotics
1.3.5. sweat at night
1.3.6. came from indonesia seven years ago
1.3.7. janitor in a hospital for the last two years
1.3.8. two months and half without treatment
1.3.9. living with family
1.3.10. wight loss 5KG
1.3.11. absent from work
1.3.12. lives in mecca
1.4. 10 minutes
2. Step 4
2.1. Hypothesis organization (tentative solution)
2.1.1. infection
2.1.1.1. upper respiratory track infection
2.1.1.2. TB
2.1.1.2.1. hospital acquired
2.1.1.2.2. country of origin
2.1.1.3. bronchitis
2.1.1.4. pnuemonia
2.1.1.5. epiglotts infection
2.1.2. malignancies
2.1.2.1. lung cancer
2.2. 20 minutes
3. Step 5
3.1. Formulate learning objectives
3.1.1. Anatomy
3.1.1.1. general overview of respiratory tract
3.1.2. PathoPhysiology
3.1.2.1. physiology of coughing
3.1.2.2. immune response towards infection
3.1.2.2.1. phlegm
3.1.2.2.2. night sweat
3.1.2.2.3. wight loss
3.1.2.3. coughing blood
3.1.3. Pathology
3.1.3.1. what diseases caused these types of symptoms?
3.1.3.2. what is the difference between cystic fibrosis and pulmonary fibrosis?
3.2. 10 minutes
4. Step 3
4.1. Hypothesis generation (brainstorming)
4.1.1. lung cancer
4.1.2. epiglotts infection
4.1.3. TB
4.1.3.1. hospital acquired
4.1.3.2. country of origin
4.1.4. pnuemonia
4.1.5. pulmonary infection
4.1.6. hospital acquired infection
4.1.7. viral infection
4.1.8. STD
4.1.9. oral cancer
4.1.10. pulmonary fibrosis
4.1.11. cystic fibrosis
4.1.12. hepatitis
4.1.13. pericarditis
4.1.14. GIT infection
4.1.15. gastric cancer
4.1.16. hyperthyroidism
4.1.17. bronchitis
4.1.18. upper respiratory track infection
4.1.19. autoimmune disease
4.1.20. pluritis
4.1.21. allergies
4.1.22. immune compromised
4.1.23. poisoning
4.1.24. flu
4.1.25. esophageal hernia
4.1.26. tonsillitis
4.1.27. drug abuse
4.1.28. drug complications
4.2. 40 minutes
5. Step 2
5.1. Problem formulation (put it in a sentence)
5.1.1. a male in his mid-30s started coughing phlegm and couple of time with blood, night sweat and 5Kg wight loss three months ago. He was treated with amoxicillin two weeks ago with no improvement