1. Step 4
1.1. Hypothesis organization (tentative solution)
1.1.1. neoplasia
1.1.1.1. hyperplasia
1.1.1.2. polyps
1.1.1.3. dysplasia
1.1.1.4. fibrioid
1.1.1.5. ovarian adenoma
1.1.2. pregnancy
1.1.2.1. ectopic
1.1.3. age-related
1.1.3.1. menepose
1.1.4. medication induced
1.1.5. acquired coagulapathy
1.2. 20 minutes
2. Step 1
2.1. Identify terms and cues
2.2. New terms
2.2.1. lousy
2.2.1.1. nauseated
2.3. cues
2.3.1. 44 yrs female
2.3.2. heavy period
2.3.3. bad pelvic discomfort
2.3.4. passing large clots on severa; occasion
2.3.5. feels lousy during them
2.3.6. had 2 episodes of bleeding 6 weeks ago
2.3.7. last incidance was last week
2.4. 10 minutes
3. Step 5
3.1. 10 minutes
3.1.1. objective formulation
3.1.1.1. abnormal vaginal bleeding in pre-meneposal woman
3.1.1.1.1. differential dignosis
3.1.1.1.2. definition
3.1.1.1.3. manifestation
3.1.1.1.4. investigations
3.1.1.2. physiology of menstrual cycle and menupose
4. Step 2
4.1. Problem formulation (put it in a senates)
4.1.1. 44 yrs old female complaining of heavy periods with bad pelvic discomfort and 2 episodes of bleeding
4.2. 10 minutes
5. Step 3
5.1. Hypothesis generation (brainstorming)
5.1.1. bleeding
5.1.1.1. horomonal replacment therapy
5.1.1.2. DIC
5.1.1.3. ectopic pregnancy
5.1.1.4. endometriosis
5.1.1.5. contraceptive pills leads to cancer
5.1.1.6. hypothyroidism
5.1.1.7. abnormal growth
5.1.1.7.1. hyperplasia
5.1.1.7.2. fibrioid
5.1.1.8. infection leads to cancer
5.1.1.8.1. HPV
5.1.1.9. PID leads to ectopic pregnancy
5.1.1.10. cervesitis
5.1.1.11. age related because of declined level of progestrone
5.1.1.12. medications
5.1.1.12.1. sterioids
5.1.1.13. pituitary tumor
5.1.1.14. PCOS