1. Step 8
1.1. Diagnostic decision
1.2. Mechanism
1.2.1. Male
1.2.1.1. Low sperm count, concentration, and vitality
1.2.2. Female
1.2.2.1. Infertility due to pelvic adhesions
1.3. Presentation
1.4. 10 minutes
2. Step 6
2.1. Review session 1
2.2. Report new knowledge
2.2.1. The Reproductive System
2.2.1.1. Anatomy
2.2.1.1.1. Male
2.2.1.1.2. Female
2.2.1.2. Physiology
2.2.1.2.1. Male
2.2.1.2.2. Female
2.2.2. Infertility
2.2.2.1. Definition
2.2.2.1.1. Incapacity to fall pregnant after unprotected sexual intercourse after one year
2.2.2.2. Causes
2.2.2.2.1. Biological
2.2.2.2.2. Psychogenic
2.3. 30 minutes
3. Step 7
3.1. Inquiry plan and info gathering
3.1.1. History of presenting complaint
3.1.2. Previous medical / surgical history
3.1.2.1. Male
3.1.2.1.1. No history of STD's or sexual activity
3.1.2.2. Female
3.1.2.2.1. Very irregular Periods at 13
3.1.3. Drug history / allergy
3.1.4. Family history
3.1.5. Social / occupational history
3.1.5.1. Male
3.1.5.1.1. Worked with many chemicals
3.1.5.1.2. Became depressed
3.1.5.1.3. Drinks
3.1.5.1.4. Smokes 2 packs per day
3.1.5.2. Female
3.1.6. Systemic review
3.1.7. Physical examination
3.1.7.1. Male
3.1.7.1.1. Obese
3.1.7.1.2. Varicocele on the left testes
3.1.7.2. Female
3.1.7.2.1. Obese
3.1.7.2.2. Hirsutism
3.1.7.2.3. Galactorrhea
3.1.7.2.4. Acne