1. Step 4
1.1. Hypothesis organization (tentative solution)
1.1.1. dementia
1.1.1.1. Alzheimer
1.1.1.1.1. most common
1.1.1.1.2. age related
1.1.2. vascular
1.1.2.1. multi-infract dementia
1.1.3. metabolic
1.1.3.1. drug abuse
1.1.3.2. medications adverse effects
1.1.3.2.1. decreased clearance and metabolism
1.1.3.3. toxicity
1.1.3.3.1. environmental exposure
1.1.3.4. hypothyroidism
1.2. 20 minutes
2. Step 1
2.1. Identify terms and cues
2.2. New terms
2.2.1. none
2.3. cues
2.3.1. 8o yo female
2.3.2. getting forgetful over the last year
2.3.3. she came with her daughter
2.3.4. she has problem remembring names/ prayer times
2.3.5. sometimes not aware of the day/ date
2.3.6. she thinks that she has good memory for her age
2.3.7. her daughter is concerned about her ability to coupe at home
2.3.8. gradual and progressive decline of memory
2.3.9. decline of her husband's health
2.3.10. she has good memory remembering past/ shared memory
2.4. 10 minutes
3. Step 5
3.1. Formulate learning objectives
3.1.1. physiology of memory and relevant anatomy
3.1.2. dementia
3.1.2.1. types
3.1.2.2. deferential diagnoses
3.1.3. Alzheimer
3.1.3.1. causes
3.1.3.2. presentation
3.1.3.3. diagnosis
3.1.3.4. pathophysiology
3.2. 10 minutes
4. Step 2
4.1. Problem formulation (put it in a senates)
4.1.1. An 80 yo female brought by her daughter concerened about her forgetfulness over the last year and progressive decline in her memory
4.2. 10 minutes
5. Step 3
5.1. Hypothesis generation (brainstorming)
5.1.1. Decline in memory
5.1.1.1. short term
5.1.1.1.1. prayer time
5.1.1.1.2. chronic and progressive
5.1.1.1.3. husbands declining health
5.1.1.2. long term memory
5.1.1.2.1. intact
5.1.2. neuronal loss due to aging
5.1.2.1. senile atrophy
5.1.3. neurodegenerative disease
5.1.3.1. affecting short term memory centers
5.1.3.2. like dementia
5.1.3.2.1. Alzheimer
5.1.3.2.2. multiracial dementia
5.1.3.2.3. lewi body
5.1.3.3. ideopathic
5.1.3.4. secondary
5.1.4. vascular
5.1.4.1. ischema
5.1.4.2. multi-infractions
5.1.5. metabolic
5.1.5.1. drug abuse
5.1.5.2. medications adverse effects
5.1.5.2.1. decreased clearance and metabolism
5.1.5.3. toxicity
5.1.5.3.1. environmental exposure
5.1.6. trauma
5.1.6.1. falls
5.1.7. tumors