ex-navy session 1

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ex-navy session 1 por Mind Map: ex-navy session 1

1. 10 minutes

2. Hypothesis generation (brainstorming)

2.1. disruption of airway due to smoking causing these symptoms

2.2. cyanosis indicate CO2 retention

2.2.1. defect in gas exchange in alveoli in chronic bronchitis

2.3. Vague pain

2.3.1. coronary artery disease

2.3.2. heart failure

2.3.3. conginetal

2.3.3.1. can cause cyanosis

2.3.4. growing tumor or cancer

2.3.4.1. because it is not related to breathing or exertion

2.3.5. cough to clear the mucus

2.4. pleuritis

2.5. with smoking irritating the respiratory tract

2.5.1. bronchitis can occur

2.5.2. smokers cough

2.5.2.1. in the morning

2.5.2.2. moist

2.6. presence of parenchymal disease causing the cyanosis and the obstruction

2.7. chronic bronchitis

2.7.1. can cause weight loss

2.7.1.1. reduced muscle mass

2.7.2. body weakness

2.8. occupational related diseases

2.9. navys used to use asbestos in insulating the pipes

2.9.1. mesothelioma can cause vague chest pain

2.10. anemia

2.10.1. fibrosis or emphysema because of increased inflammation at the parynchema of the lung

2.10.2. most patients of chronic smoker have increase hemoglobin levels

2.10.2.1. secondary polycythemia

3. 20 minutes

4. excessive mucus secretions can cause increase risk of infections

4.1. greyish-white sputum indication of infection

5. Step 1

5.1. Identify terms and cues

5.2. New terms

5.2.1. puffing

5.2.1.1. pushing air out forcefully

5.2.2. flight

5.2.2.1. a lot of stairs

5.2.3. vague

5.2.3.1. not clear or in one place (diffuse)

5.2.4. ex-navy

5.2.5. exertion

5.2.5.1. physical activity

5.3. cues

5.3.1. 56 yo male

5.3.2. ex-navy seaman

5.3.3. thin

5.3.4. smoker

5.3.5. increasing breathlessness and cyanosis while exertion

5.3.5.1. for four years

5.3.6. persistant cough for the past with small amounts of grey white sputum

5.3.6.1. two years

5.3.6.2. in the morning

5.3.7. vague chest pain not connected to breathing

5.4. 10 minutes

6. Step 4

6.1. Hypothesis organization (tentative solution)

6.1.1. COPD

6.1.1.1. developed by chronic smoking

6.1.1.2. leading to cardiac problems as complication

6.1.1.3. chronic bronchitis?

6.1.2. lung cancer

6.1.2.1. mesothelioma

6.1.2.1.1. causing the vague chest pain

6.1.2.1.2. most of the times co-existance of bronchitis and emphysema

6.1.2.1.3. asbestos exposure can explain it

6.1.2.2. or other types of lung cancer

6.1.2.3. did he lose weight?

6.1.3. pulmonary fibrosis

6.1.3.1. can be caused by asbestosis

6.1.4. cardiopulmonary diseases

6.1.4.1. cor pulmonale

6.1.5. occupational lung disease

7. Step 5

7.1. Formulate learning objectives

7.1.1. pathophysiology for the process of cyanosis

7.1.1.1. why COPD can cause cyanosis

7.1.1.2. smoking and cyanosis

7.1.2. occupational respiratory diseases

7.1.2.1. what is common in navy

7.1.2.2. asbestosis and mesothelioma

7.1.2.2.1. neoplasms

7.1.2.3. fibrotic lung diseases

7.1.3. what causes vague chest pain

7.1.3.1. not related to breathing or exertion

7.1.3.2. could it be caused by lung cancer?

8. Step 2

8.1. Problem formulation (put it in a senates)

8.1.1. 56 yo ex-navy seaman smoker, with a history of breathlessness, cyanosis, productive cough (greyish-white sputum), and vague chest pain.

8.2. 10 minutes

9. Step 3

9.1. breathlessness

9.1.1. obstruction in the airway

9.1.1.1. mucus secretion

9.1.1.2. muscle hypertrophy

9.1.1.3. can be casued by COPD

9.1.2. either the patient can't breathe or won't breathe

9.1.2.1. less saturation in the medulla make the won't breathe

9.1.2.2. obstruction leads to can't breathe

9.1.3. bluish discoloration of the skin because of decreased oxygen levels in the blood (hypoxemia)

9.1.4. cor pulmonale

9.1.4.1. seen in advanced COPD

9.2. 40 minutes