Considering ulternatives Session 1

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Considering ulternatives Session 1 by Mind Map: Considering ulternatives Session 1

1. Problem formulation (put it in a senates)

1.1. 48 y male fainted after standing up in a stressful morning and seeking for advice in regard to his doughter recent sexuall relation

2. Step 1

2.1. Identify terms and cues

2.2. New terms

2.2.1. stood up

2.2.1.1. to stand up suddenly

2.3. cues

2.3.1. male 48 y o

2.3.2. passed out in work

2.3.3. presented to the clinic and looked worry and distress

2.3.4. pale and seatywhent standing up

2.3.5. stressful morning and miss lunch

2.3.6. after falling he wake up after few seconds

2.3.7. more stress with new job

2.3.8. more stress after he knew about his doughter

2.4. 10 minutes

3. Step 4

3.1. Hypothesis organization (tentative solution)

3.1.1. CVS

3.1.1.1. ciculatory

3.1.1.2. arrhthemia

3.1.1.3. aortic stenosis

3.1.1.4. anatomical structure

3.1.1.5. anemia

3.1.2. non CVS

3.1.2.1. psychiatric problem ?

3.1.2.2. transient ischemia

3.1.2.3. epilipsy

3.1.2.4. medication ?

3.1.3. chronic fatque

3.1.3.1. organic

3.1.3.2. non organic

3.2. 20 minutes

4. Step 5

4.1. Formulate learning objectives

4.1.1. chronic fatque

4.1.1.1. causes

4.1.1.2. risk factors

4.1.1.3. mechanisim

4.1.2. fainting

4.1.2.1. mechanisim

4.1.2.2. causes

4.1.2.2.1. stress???

4.1.2.3. posteral hypotension

4.1.2.3.1. risk factors

4.1.2.3.2. mechanisim

4.2. 10 minutes

5. Step 2

5.1. 10 minutes

6. Step 3

6.1. 40 minutes

6.2. Hypothesis generation (brainstorming)

6.2.1. fainting

6.2.1.1. vasovagal syncope

6.2.1.1.1. stress, hunger

6.2.1.1.2. vasodilation

6.2.1.1.3. reduces BP

6.2.1.1.4. accumlation of blood in peripheral cicurlation

6.2.1.1.5. less blood to the brain

6.2.1.1.6. brain shut down

6.2.1.2. medications?

6.2.1.3. posteral hypotension

6.2.1.3.1. only in this morning cus it was stressful morning

6.2.1.3.2. plus the family and missed lunch

6.2.1.4. diabetese ?

6.2.1.5. psychiatric problem ?

6.2.1.6. low glocuse

6.2.1.7. combination of both mechanisim

6.2.1.8. emotional fainting

6.2.1.8.1. reduces the heart rate

6.2.1.8.2. which reducescerebral blood flow

6.2.1.9. neurogenic shock

6.2.1.9.1. circulatory shock means uneffecient sympathtic

6.2.1.9.2. damge to the spinal cord or the brain (trauma)

6.2.1.10. cardiac problem

6.2.1.10.1. aortic stenosis

6.2.1.11. arrhythmia

6.2.1.11.1. caused by stress and lead to

6.2.1.12. strok ?

6.2.1.13. transient ischemia

6.2.1.14. epilipsy

6.2.2. stress

6.2.2.1. doughter

6.2.2.2. change the job

6.2.2.3. cause tachycardia

6.2.2.4. cause strok

6.2.3. missed lunch

6.2.3.1. exacerbate the problem

6.2.3.2. low fliud

6.2.3.3. hypoglycemia