PBL 2 session 1

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PBL 2 session 1 by Mind Map: PBL 2 session 1

1. Step 4

1.1. Hypothesis organization (tentative solution)

1.1.1. metastatic or primary lung cancer

1.1.2. TB

1.1.3. sarcidosis

1.2. 20 minutes

2. Step 1

2.1. Identify terms and cues

2.2. New terms

2.2.1. naturopath

2.2.1.1. belief in alternative medicine

2.3. cues

2.3.1. 50 y o male

2.3.2. filipiono immigrant

2.3.3. worsening cough

2.3.4. shortness of breath

2.3.5. RUQ, left rib and left pelvic pain

2.3.5.1. RUQ worsened by bending forward

2.3.5.2. bone pain is increased with activity and at night

2.3.6. flu like illness and right lung mass (X-ray) 2 y ago

2.3.7. he refused further investigation and went with a course of vitamins

2.4. 10 minutes

3. Step 5

3.1. Formulate learning objectives

3.1.1. lung cancer

3.1.1.1. epidemiology

3.1.1.2. types

3.1.1.3. etiology and pathophysiology

3.1.1.4. presentation

3.1.1.5. diagnosis

3.2. 10 minutes

4. Step 2

4.1. Problem formulation (put it in a senates)

4.1.1. a 50 y o male presented to the clinic complaining of worsening cough, SOB and RUQ, left ribs and pelvic pain, with a history of right lung mass suspicious in x-ray.

4.2. 10 minutes

5. Step 3

5.1. Hypothesis generation (brainstorming)

5.1.1. SOB

5.1.1.1. cardiovascular, respiratory or anemia

5.1.2. worsening cough

5.1.2.1. progressive and indicates a sever problem

5.1.2.2. acute infection

5.1.2.3. because of an irritation

5.1.2.4. due to medication (ACEI)

5.1.2.5. unlikely an acute problem

5.1.3. RUQ, left pelvic and ribs pain

5.1.3.1. can be a metastasis

5.1.3.2. RUQ can be caused by overstretching of viscera

5.1.3.3. bending causes the pain to increase because of pleural involevement

5.1.3.4. liver, right lower lung lobe and right hemidiaphragm can be the cause

5.1.3.5. the exhaustion of the body at night worsens the pain

5.1.4. past history of a right lung mass (x-ray) and flu like illness

5.1.4.1. can be the cause of his current illness

5.1.4.2. it indicates a chronic pathology

5.2. 40 minutes