1. Step 4
1.1. Hypothesis organization (tentative solution)
1.1.1. inflammatory bowel disease
1.1.2. chronic GI infection
1.1.3. neoplasm in the lower GI
1.1.4. iatrogenic
1.1.4.1. diet
1.1.4.2. laxatives
1.1.5. structural problem
1.1.5.1. short bowel sundrome
1.2. 20 minutes
2. Step 1
2.1. Identify terms and cues
2.2. New terms
2.2.1. abdominal bloating
2.2.1.1. fullness or distention
2.3. cues
2.3.1. 25 yo female
2.3.2. 3 months hx of tiredness
2.3.2.1. abdominal bloating
2.3.3. diarrhea for a while
2.3.4. concern about cancer
2.3.5. she is not feeling 100% well
2.4. 10 minutes
3. Step 5
3.1. Formulate learning objectives
3.1.1. physiology of absorption
3.1.2. chronic diarrhea
3.1.2.1. causes
3.1.2.1.1. malabsorption
3.1.2.2. pathophysiology
3.1.2.3. complication
3.1.2.3.1. tiredness
3.1.3. abdominal bloating
3.1.3.1. causes
3.1.3.2. reletion to chronic diarrhea
3.2. 10 minutes
4. Step 2
4.1. Problem formulation (put it in a senates)
4.1.1. a 25 yrs old female complaining of 3 months hx of tiredness, abdominal bloating, and diarrhea
4.2. 10 minutes
5. Step 3
5.1. Hypothesis generation (brainstorming)
5.1.1. abdominal bloating
5.1.1.1. lactose intolerance
5.1.1.2. IBS
5.1.1.3. associated with menstrual cycle
5.1.1.4. obstruction in the pyloric sphincter
5.1.1.5. liver problem
5.1.1.5.1. ascietis
5.1.2. tirdness
5.1.2.1. central
5.1.2.1.1. brain not finctioning well
5.1.2.2. prephral
5.1.2.2.1. nutrient
5.1.2.2.2. electrolyte imbalance
5.1.2.2.3. problem in the absorbtion
5.1.2.2.4. because of the diarrhea
5.1.2.2.5. anemia
5.1.2.2.6. cancer in the small or large intestine
5.1.3. diarrhea
5.1.3.1. food poisoning leads to diarrhea
5.1.3.2. fistula
5.1.3.3. fungal infection
5.1.3.4. drug induced
5.1.3.5. diet
5.1.3.5.1. fibers
5.1.3.6. short bowel syndrome
5.1.3.6.1. no enough spacce for nutrient to be absorbed