Going Down Hill Session 1

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Going Down Hill Session 1 by Mind Map: Going Down Hill Session 1

1. Step 1

1.1. Identify terms and cues

1.2. New terms

1.2.1. plump man

1.2.1.1. little overweight

1.2.2. flustered

1.2.2.1. confused

1.2.3. dappled appearance

1.2.3.1. spot marking occuring in clusters

1.2.4. fair weight

1.2.4.1. fair amount of weight

1.2.5. being subjective to fingertip pressure

1.2.5.1. pitting edema

1.2.6. to prop himself up

1.2.6.1. to support himself while he's sleeping

1.3. cues

1.3.1. Hasn't been well for the past 2 years

1.3.2. A male in his forties

1.3.3. over the past few months he's been getting breathless

1.3.3.1. breathlessness is worsening in the past few weeks

1.3.4. coud not sleep well at night

1.3.5. pillow support

1.3.6. looks exhausted & confused

1.3.7. he felt like he's gained weight

1.3.8. ankle is discoulered and dappled appearance

1.3.8.1. swollen

1.3.9. Shift train driver

1.4. 10 minutes

2. Step 4

2.1. Hypothesis organization (tentative solution)

2.1.1. CVS

2.1.1.1. Coronary artery disease

2.1.1.2. Valve problem

2.1.1.3. Muscle weakness

2.1.1.4. Hypertension

2.1.1.4.1. Diet, smoking, genetics?

2.1.1.5. Right sided heart failure

2.1.2. Resp

2.1.2.1. COPD

2.1.2.1.1. Ask about cough, smoking,

2.1.3. Hematology

2.1.3.1. Anemia

2.1.3.1.1. Pallor

2.1.3.1.2. Increase absorpion of iron

2.1.4. Medistinal mass

2.1.5. Endocrine

2.2. 20 minutes

3. Step 5

3.1. Formulate learning objectives

3.1.1. Heart anatomy

3.1.2. Physiology of heart (as a pump)

3.1.3. Heart failure

3.1.3.1. Pathophysiology

3.1.3.2. Causes

3.1.3.3. Diagnosis

3.2. 10 minutes

4. Step 2

4.1. Problem formulation (put it in a senates)

4.1.1. A male who is a train driver in his forties looking exhausted and flustered complaining of progressive SOB, swollen ankles, weight gain, and disturbed sleep(SOB)

4.2. 10 minutes

5. Step 3

5.1. Hypothesis generation (brainstorming)

5.1.1. SOB

5.1.1.1. Resp system

5.1.1.1.1. Asthma, COPD

5.1.1.1.2. Conduction

5.1.1.1.3. Lung tissue(restrictive)

5.1.1.1.4. Mechanism of breathing controlled by CO2 levels in CSF

5.1.1.1.5. Periphrel centre= baroreceptors and chemreceptors

5.1.1.2. CVS

5.1.1.2.1. Muscles of the heart

5.1.1.2.2. Bundles of Hiss

5.1.1.2.3. Can be related to ischemia which then leads to heart failure(By coronary arteries-MI-)

5.1.1.2.4. Hypertension

5.1.1.3. Blood

5.1.1.3.1. Anemia might lead to CV complication

5.1.1.4. Obesity related

5.1.1.4.1. exhausted because of SOB

5.1.1.4.2. Not related to fat accumulation but may be from edema

5.1.2. Swollen ankle & weight gain

5.1.3. Distrubed sleep

5.1.4. Confusion

5.1.4.1. less nutrients and blood

5.1.5. Fatigue

5.2. 40 minutes