1. Step 1
1.1. Identify terms and cues
1.2. New terms
1.2.1. hunched over
1.2.1.1. bent over
1.2.2. pink frothy sputum
1.2.2.1. bubbly
1.2.3. verandah of a country hospital
1.2.3.1. waiting area
1.3. cues
1.3.1. 6 month pregnant woman
1.3.2. SOB
1.3.3. distress
1.3.4. aboriginal
1.3.5. felt racing heart before coming to hospital
1.3.6. tired and progressive SOB for last ffew weeks
1.3.7. coughed pink frothy sputum
1.3.8. swollen ankles
1.3.9. gets breathless while doing home tasks
1.3.10. never felt these symptoms before
1.3.11. baby is OK
1.3.12. has 4 children
1.4. 10 minutes
2. Step 4
2.1. Hypothesis organization (tentative solution)
2.1.1. invective process causing cardiac and respiratory problems
2.1.2. valvular disease
2.1.2.1. infection like endocarditis or rheumatic fever
2.1.3. cardiomyopothy
2.2. 20 minutes
3. Step 5
3.1. Formulate learning objectives
3.1.1. anatomy and physiology of valves
3.1.2. RELATED valvular diseases
3.1.2.1. causes
3.1.2.2. mechanism
3.1.2.3. complications
3.1.2.4. diagnosis
3.1.3. pregnancy effects on heart
3.2. 10 minutes
4. Step 2
4.1. Problem formulation (put it in a senates)
4.1.1. 6 month pregnant aboriginal woman complaining of racing heart, SOB and pink frothy sputum. with history of SOB and swollen ankles in the last few weeks
4.2. 10 minutes
5. Step 3
5.1. Hypothesis generation (brainstorming)
5.1.1. SOB
5.1.1.1. caused by either respiratory or cardiac problem
5.1.1.2. progressive
5.1.1.3. airway blockage
5.1.1.4. lung or heart problem
5.1.1.5. conducting problem
5.1.1.6. physiological changes in pregnancy
5.1.1.7. anemia worsen by pregnancy
5.1.1.8. infection (endocarditis?) of heart or lung
5.1.1.9. pulmonary edema
5.1.2. swollen ankles
5.1.2.1. heart problem
5.1.2.2. varicose vein
5.1.3. pink frothy sputum
5.1.3.1. pulmonary edema (valvular disease?)
5.1.3.2. infection
5.1.4. fatigue
5.1.4.1. SOB
5.1.5. racing heart
5.1.5.1. compensatory process
5.1.5.2. physical restriction (pericardia?)