1. Step 4
1.1. Hypothesis organization (tentative solution)
1.2. 20 minutes
2. Step 1
2.1. Identify terms and cues
2.2. New terms
2.2.1. sentinel node biopsy
2.2.1.1. lymph node first affected by breast mets
2.3. cues
2.3.1. 58 year old woman
2.3.2. she lives in blue mountains
2.3.3. lump in the upper outer quadrant of left breast
2.3.4. noticed lump 4 months ago
2.3.5. already dianosed with breast cancer
2.3.6. her sister mastectomy and takes tamoxifen
2.3.7. wondering about sentinal node biopsy
2.3.8. she's just here to discuss management plan
2.4. 10 minutes
3. Step 5
3.1. Formulate learning objectives
3.1.1. learn about sentinel node bipsy
3.1.1.1. Lymphatic drainage
3.1.2. Breast cancer
3.1.2.1. Types
3.1.2.2. Etiology
3.1.2.2.1. Genetic link
3.1.2.3. Epidemiology
3.1.2.4. Diagnosis
3.1.2.5. Prognosis
3.1.2.6. Complications
3.2. 10 minutes
4. Step 2
4.1. Problem formulation (put it in a senates)
4.1.1. 58 year old female with left breast cancer asking for consultation for surgical options
4.2. 10 minutes
5. Step 3
5.1. Hypothesis generation (brainstorming)
5.1.1. sentinel node biopsy
5.1.1.1. node that tumor will mets to first
5.1.1.2. important in determining extent of surgery
5.1.1.3. decrease recurrence
5.1.2. breast tumor
5.1.2.1. bening
5.1.2.1.1. fibroma
5.1.2.2. malignant
5.1.2.2.1. ductal
5.1.2.2.2. most common cancer in women
5.1.2.2.3. Risk factors
5.1.2.2.4. Presentation
5.1.2.2.5. drainage
5.1.2.2.6. Staging
5.1.2.3. screen by mammogram
5.1.2.4. diagnosed with bipsy
5.1.2.5. Mets
5.1.2.5.1. liver
5.1.2.5.2. bone
5.1.3. Psychological