1. Step 1
1.1. Identify terms and cues
1.2. New terms
1.2.1. getting on a bit
1.2.1.1. increasing slowly
1.2.2. peaches
1.2.2.1. type of fruit
1.2.3. put it down to
1.2.3.1. she described it
1.3. cues
1.3.1. 45 yo housewife
1.3.2. from Mildura
1.3.2.1. rural area in Australia
1.3.3. farm worker
1.3.4. symptoms are getting on a bit (worsen)
1.3.5. joint pain for the last 8 months
1.3.6. early morning stiffness (right knee and ankle)
1.3.7. followed by stiffness and swelling in her hands
1.3.8. it's affecting her work
1.4. 10 minutes
2. Step 4
2.1. Hypothesis organization (tentative solution)
2.1.1. infection
2.1.1.1. septic arthritis
2.1.1.1.1. viral
2.1.1.1.2. bacterial
2.1.1.1.3. parasitic
2.1.2. auto-immune
2.1.2.1. rheumatoid arthritis
2.1.2.2. SLE
2.1.3. metabolic
2.1.3.1. gout disease
2.1.4. ideobathic
2.1.4.1. osteoarthritis
2.2. 20 minutes
3. Step 5
3.1. Formulate learning objectives
3.1.1. anatomy and function of synovial joints
3.1.2. difference between gout, arthritis and SLE (presentations)
3.1.3. mechanisms of chronic arthritis
3.1.4. what kind of arthritis does present with these symptoms
3.1.5. diagnosis and clinical presentation of rheumatoid arthritis
3.1.5.1. genetic aspects (familial?)
3.2. 10 minutes
4. Step 2
4.1. Problem formulation (put it in a senates)
4.1.1. A 45 yo housewife farmer complaining of progressive pain with swelling and stiffness in her right ankle and knee started 8 months ago and followed by stiffness and swelling in her hands
4.2. 10 minutes
5. Step 3
5.1. Hypothesis generation (brainstorming)
5.1.1. vascular
5.1.1.1. inflammation involving vessels
5.1.2. infection
5.1.2.1. septic arthritis
5.1.2.1.1. viral
5.1.2.1.2. bacterial
5.1.2.1.3. parasitic
5.1.2.2. osteomylitis
5.1.3. trauma
5.1.3.1. mechanical stress
5.1.4. auto-immune
5.1.4.1. rheumatoid arthritis
5.1.4.2. systemic lupus
5.1.5. metabolic
5.1.5.1. gout disease
5.1.5.2. vitamin D deficiency
5.1.5.3. low calcium intake
5.1.6. ideobathic
5.1.6.1. osteoarthritis