1. Formulate learning objectives
1.1. glomeriolopathy
1.1.1. definition
1.1.2. types
1.1.3. pathophyisology
1.1.4. causes
1.1.5. sign and sympptoms
1.1.6. diagnosis
1.2. capillary-intersitial fluid shift
1.3. uremia in relation to lethargy
2. Step 4
2.1. Hypothesis organization (tentative solution)
2.1.1. chronic kidney disease
2.1.1.1. glomeriolopathy
2.1.2. metabolic syndrome
2.1.2.1. heart faliur
2.2. 20 minutes
3. Step 1
3.1. Identify terms and cues
3.2. New terms
3.3. cues
3.3.1. 62 y
3.3.2. male
3.3.3. sitting in a surgery room
3.3.4. lethargy
3.3.5. ankles swolling for 6 w
3.3.6. progressive
3.3.7. nocturia for 12 months
3.3.8. retired accountant
3.4. 10 minutes
4. Step 5
4.1. 10 minutes
5. Step 2
5.1. Problem formulation (put it in a senates)
5.1.1. 62 y male presents with nocturia for 12 months. lethargy and progressive ankles swolleing (pitting oedema) for 6 weeks
5.2. 10 minutes
6. Step 3
6.1. Hypothesis generation (brainstorming)
6.1.1. lethargy
6.1.1.1. brain
6.1.1.2. decreased blood
6.1.1.3. anemia
6.1.1.4. loss of transferrin
6.1.2. ankles swolling
6.1.2.1. heart, kidney and liver
6.1.2.2. volum overload
6.1.2.2.1. fluid accumulates in periphry
6.1.2.3. DVT is unilateral
6.1.2.4. decrease cardiac output
6.1.2.5. inflammation in glumerulous
6.1.2.6. abdomial mass obstructs the venous return
6.1.3. nocturia
6.1.3.1. storage symptoms
6.1.3.2. from kidneys
6.1.3.3. diabetes
6.1.3.3.1. for long time