PBL 8 session 2

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PBL 8 session 2 by Mind Map: PBL 8 session 2

1. Step 6

1.1. Review session 1

1.2. Report new knowledge

1.3. 30 minutes

1.3.1. The scribe does not have to write in this step!

2. Step 8

2.1. Diagnostic decision

2.1.1. Alzheimer disease

2.1.2. tregger 2

2.1.2.1. pneumonia

2.1.2.2. septicemia

2.1.2.3. UTI

2.2. Mechanism

2.3. Presentation

2.4. Supporting data

2.5. 10 minutes

3. Step 7

3.1. Inquiry plan and info gathering

3.1.1. History of presenting complaint

3.1.1.1. Forgets new peoples names

3.1.1.2. Occasionally forgets prayer time

3.1.1.3. uncertain of the days

3.1.1.4. the symptoms are progressive ove the last year

3.1.1.5. good general health

3.1.1.6. no main sypmtoms rather than memroy

3.1.1.7. she's quiter

3.1.1.8. she doesn't feel going out

3.1.1.9. she thinks that she's fine an can live independantly

3.1.1.10. her old memories are fine

3.1.2. Previous medical / surgical history

3.1.2.1. No chronic diseases

3.1.2.2. no surgeries

3.1.2.3. no traumas

3.1.3. Drug history / allergy

3.1.3.1. no allergies

3.1.3.2. no drugs

3.1.4. Family history

3.1.4.1. Her brother 85 yo and has memory loss

3.1.4.2. her parents died at a young age

3.1.4.3. the husband has multiple problems; prostate cancer

3.1.4.3.1. she takes care of him

3.1.5. Social / occupational history

3.1.5.1. she retired

3.1.5.2. now she's a housewife

3.1.5.3. 2 daughters and a son

3.1.5.3.1. they live out of the city

3.1.5.3.2. her youngest daughter live near by

3.1.5.4. she lives at the same house for 45 years

3.1.5.5. no history of alcohol or nicotine consumption

3.1.6. Systemic review

3.1.6.1. all normal

3.1.7. Physical examination

3.1.7.1. vitals

3.1.7.1.1. 37C

3.1.7.1.2. hr 90/m

3.1.7.1.3. bp 130/70

3.1.7.1.4. standing bp 115/65

3.1.7.1.5. rr 14

3.1.7.2. Neurological

3.1.7.2.1. mental state

3.2. 50 minutes

3.3. trigger 2

3.3.1. Chief complaint

3.3.1.1. she was reviewed at home

3.3.1.2. rumbling and incoherent speech

3.3.1.3. she has been feeling unwell for a few days

3.3.1.4. she has been talking to her deceased mother

3.3.1.4.1. hullictations

3.3.1.5. problem swallowing the food

3.3.1.6. urinary frequency

3.3.1.7. confusion

3.3.1.8. drowsiness

3.3.1.9. cough

3.3.2. Sypmtoms

3.3.2.1. No headache

3.3.2.2. no convulsions

3.3.3. History

3.3.3.1. two year later, yoiu recieve a call from mrs mohammed neighbor o five yearts who have ound mrs mohammed wandering the streets. she ran a way from her doughter claiming that she was trying to kill her, over the last two days she is confused, and her neighbors called you as they found your number

3.3.3.2. Could not contact the family

3.3.4. Examinations

3.3.4.1. Vitals

3.3.4.1.1. TEMP 37C

3.3.4.1.2. Puls rate 90/m

3.3.4.1.3. bp 130/70

3.3.4.1.4. rr 24/m

3.3.4.2. inspections

3.3.4.2.1. disheveled appearance

3.3.4.2.2. drowsy

3.3.4.2.3. very agitated when waking

3.3.4.3. Physical examination

3.3.4.3.1. She was able to follow simple commands but not complex ones

3.3.4.3.2. Decreased skin turgur

3.3.4.3.3. dry tongue

3.3.4.3.4. respiratory

3.3.4.3.5. neurological

3.3.5. Tests