1. Step 5
1.1. Formulate learning objectives
1.1.1. relavent anatomy & physiology of pancreas
1.1.2. physiology of insulin
1.1.3. Diabetes
1.1.3.1. types
1.1.3.2. signs & symptoms
1.1.3.3. pahtophysiology
1.1.3.4. complications
1.1.3.5. diagnosis
1.1.4. skin infections in diabetics
1.2. 10 minutes
2. Step 4
2.1. Hypothesis organization (tentative solution)
2.1.1. complication of diabetes
2.1.1.1. stress
2.1.1.2. lack of compliance
2.1.1.3. PN
2.1.1.4. disturbed blood supply
2.1.2. immune suprression
2.1.3. bad hygiene leads to fungal infection
2.2. 20 minutes
3. Step 1
3.1. Identify terms and cues
3.2. New terms
3.2.1. reluctant
3.2.1.1. unwelling
3.3. cues
3.3.1. recurring skin infection in foot
3.3.2. 23 yo woman
3.3.3. pain and tiredness since last week
3.3.4. looking tired and worried
3.3.5. diabetic
3.3.5.1. hiding this fact
3.3.5.1.1. to not losing her job
3.3.5.2. reluctant to do the check ups
3.3.6. works as bus driver
3.3.6.1. doesn't like it
3.3.7. looks thin?
3.3.8. under financial stress
3.4. 10 minutes
4. Step 2
4.1. Problem formulation (put it in a senates)
4.1.1. a 23 yo diabetic woman complaining of recurring skin infection in her foot causing pain & she is feeling tired since the last week
4.2. 10 minutes
5. Step 3
5.1. Hypothesis generation (brainstorming)
5.1.1. recurring skin infection
5.1.1.1. most common complication of diabetes
5.1.1.2. poor blood supply leads to gangrene and difficult treating
5.1.1.3. PN start with tingling, then they lose sensation
5.1.1.4. reduced immunity
5.1.1.5. being driver
5.1.1.5.1. makes her susceptible to injuries
5.1.1.5.2. muscular spasm might lead to the pain
5.1.1.5.3. drug use causing immune suprression
5.1.1.5.4. wearing shoes for long times
5.1.1.6. nature of the infection?
5.1.2. tiredness
5.1.2.1. due to overtime work
5.1.2.2. hypoglycemia induced
5.1.3. occupational and financial stressors
5.1.3.1. overtime work reduces her care of foot and diabetes
5.1.3.2. worried of other complications like PN
5.1.3.3. stress hormone increase Glu in blood
5.1.4. diabetes in its 2 types
5.1.4.1. types
5.1.4.1.1. autoimmune - DM 1
5.1.4.1.2. acquired - DM 2
5.1.4.1.3. DI
5.1.4.2. bacteria loves areas rich of glucose
5.1.4.3. diabetic foot
5.1.4.3.1. delayed healing due to immunity
5.1.4.4. compliance??