1. Step 4
1.1. Hypothesis organization (tentative solution)
1.1.1. cuishing
1.1.1.1. endogenous
1.1.1.2. exogenous
1.1.1.2.1. medications
1.1.2. pseudocuishing
1.1.3. weight gain
1.1.3.1. depression
1.1.3.2. enviromental
1.1.3.3. genetics
1.1.4. death wishes
1.1.4.1. SAD PERSONS
1.1.4.2. support
1.1.4.3. parents
1.2. 20 minutes
2. Step 1
2.1. Identify terms and cues
2.2. New terms
2.2.1. bursts into tears
2.3. cues
2.3.1. 15 y school girl
2.3.2. chronic asthma since 5 y
2.3.3. gained some weight since last visit
2.3.4. bursts into tears
2.3.5. came to refil the med
2.3.6. "wishes she could die"
2.3.7. looks unhappy
2.3.8. moon face
2.4. 10 minutes
3. Step 5
3.1. Formulate learning objectives
3.1.1. structure of the adrenal gland
3.1.2. physiology of cortisone
3.1.3. cuishing syndrome
3.1.3.1. pathophysiology
3.1.3.2. causes
3.1.3.2.1. medication induced
3.1.3.3. symptoms
3.1.3.4. diagnosis
3.1.4. the difference between cuishing and psuedo-cuishing
3.2. 10 minutes
4. Step 2
4.1. Problem formulation (put it in a senates)
4.1.1. 15-year-old girl with chronic asthma (on medication) , has gained weight and has death wishes
4.2. 10 minutes
5. Step 3
5.1. Hypothesis generation (brainstorming)
5.1.1. depression
5.1.1.1. weight gain
5.1.1.2. stress
5.1.2. hormonal imbalance
5.1.3. gaining weight
5.1.3.1. genetics predisposition
5.1.3.2. nutritional changes
5.1.3.3. abnormal metabolisim
5.1.3.3.1. endocrine
5.1.3.3.2. hypothyroid
5.1.4. life-style
5.1.5. asthma on exertion
5.1.6. medication
5.1.6.1. steroid
5.1.6.1.1. chronic use
5.1.6.1.2. increase the blood glucose
5.1.6.1.3. increase lipid
5.1.6.1.4. weight gain
5.1.6.1.5. moon face
5.1.6.1.6. depression
5.1.7. asthma
5.1.8. sedentary life style result in increasing weight
5.1.9. lung cancer
5.1.10. psudo cuishing
5.1.11. puberty
5.1.11.1. hormone