1. Step 1
1.1. Identify terms and cues
1.2. New terms
1.3. cues
1.3.1. 14 months old boy
1.3.2. swoellen right knee
1.3.3. for the past 2 hours
1.3.4. started to walk
1.3.5. active chiled
1.3.6. was limping
1.3.7. had a few falls
1.3.8. some bruising in he arm
1.3.9. at the ED by his mother
1.3.10. he had a shower
1.4. 10 minutes
2. Step 4
2.1. Hypothesis organization (tentative solution)
2.1.1. bleeding disorder
2.1.1.1. genetics
2.1.1.1.1. heamophilia
2.1.1.1.2. Von willlebrand disease
2.1.1.2. acquired
2.1.2. MSK disorder
2.1.2.1. trauma or falls
2.1.2.1.1. child abuse
2.1.2.2. heamarthrosis
2.2. 20 minutes
3. Step 5
3.1. Formulate learning objectives
3.1.1. bleeding disorders in children
3.1.1.1. heeamophilia
3.1.1.2. Von willebrand disease
3.1.1.3. acquired Vs inherited
3.1.2. physiology of coagulation
3.2. 10 minutes
4. Step 2
4.1. Problem formulation (put it in a senates)
4.1.1. 14 months boy presented to ED with sudden swollen right knee and arm bruising, and he is having a few falls
4.2. 10 minutes
5. Step 3
5.1. Hypothesis generation (brainstorming)
5.1.1. swollen knee
5.1.1.1. broken bone
5.1.1.2. dislocated joint
5.1.1.3. trauma
5.1.1.3.1. falling leads to fluid accumulation
5.1.1.4. internal bleeding as a result of trauma
5.1.1.5. gout disease
5.1.1.6. pseudo gout
5.1.1.7. aodema as a result of falling
5.1.1.8. vasodialation caused by hot water
5.1.1.9. genetics
5.1.1.9.1. coagulation factor is missing like factor 8 in heamophilia A
5.1.1.10. protein imbalance
5.1.1.10.1. may be inherited
5.1.1.11. limping because he just started to walk
5.1.1.12. allergy
5.1.2. arm bruising
5.1.2.1. trauma
5.1.2.2. infection
5.1.2.3. coagulation disorder
5.1.2.4. falling in his arm
5.1.2.5. child abuse
5.1.2.6. inappropriate environment leads to falling