1. Step 4
1.1. Hypothesis organization (tentative solution)
1.1.1. infection
1.1.1.1. lead to neoplasia
1.1.2. cervical cancer HPV
1.1.2.1. metastesis
1.1.2.1.1. explain low back pain and loin pain
1.2. 20 minutes
2. Step 1
2.1. Identify terms and cues
2.2. New terms
2.3. cues
2.3.1. 46 y female Progressive lower back pain Worsned 2 last m Associated with R loin pain Microscopic hematouria Abnormal appearance of cervixs
2.4. 10 minutes
3. Step 5
3.1. Formulate learning objectives
3.1.1. cervical cancer
3.1.1.1. definition
3.1.1.2. epidemiology
3.1.1.3. etiology
3.1.1.3.1. HPV
3.1.1.4. risk factors
3.1.1.5. pathophysiology
3.1.1.6. presentation
3.1.1.7. diagnosis
3.2. 10 minutes
4. Step 2
4.1. Problem formulation (put it in a senates)
4.1.1. A 46 y old female presented with 2 m of increasing low back pain and right loin pain, on pelvic examination it showed abnormal appearance of the cervixs and urine testing showed microscopic hematouria
4.2. 10 minutes
5. Step 3
5.1. Hypothesis generation (brainstorming)
5.1.1. low back pain
5.1.1.1. mostly MSK cause
5.1.1.1.1. spinal cord injury
5.1.1.1.2. fracture
5.1.1.1.3. trauma
5.1.1.1.4. fracture
5.1.1.2. infection
5.1.1.2.1. chlamydia trachomatous
5.1.1.2.2. HPV
5.1.1.3. malignancy in cervixs
5.1.2. R loin pain
5.1.2.1. radiating pain
5.1.2.2. metastesis
5.1.3. abnormal cervixs
5.1.3.1. infection --> neoplasia
5.1.3.2. cervical warts
5.1.3.3. dua to haemorrage ?
5.1.4. microscopic hematouria
5.1.4.1. invasion to blood vesseles
5.1.4.2. kidney problem
5.1.4.2.1. renal cell carcinoma