They Mustn't Find Out

1. Step [4]: Hypothesis Organization

1.1. Differential Diagnoses

1.1.1. Diabetes complications

2. Step [5]: Learning Objectives

2.1. To know about diabetes, manifestation, complications and diagnostic criteria ( + different types of measurements )

2.2. Stress effect over skin healing

2.3. Pancreatic functions: insulin specifically

3. Step [1]: Identifying Cues & Difficult Word

3.1. Identifying Cues

3.1.1. 23 y old female

3.1.2. Recurring skin infections

3.1.3. feeling tired and worried

3.1.4. Reluctant to get a check-up

3.1.5. pain at the infection site

3.1.6. Diabetic patient

3.1.7. Afraid of losing her job

3.1.8. Works as a bus driver

4. Step [2]: Problem Formulation

4.1. A 23 y old diabetic female who works as a bus driver complaining of recurrent skin infections, and pain on her foot. She also complains of tiredness.

5. Step [3]: Hypotheses Generations

5.1. hypoglycemic state> low immunity > vascular disease

5.2. Diabetes types

5.2.1. 1

5.2.1.1. Auto-immune

5.2.1.1.1. Beta cells destruction

5.2.2. 2: multi-factorial

5.2.2.1. poly-dipsia, plyphagia, plyuria

5.2.3. Note: not all organs need insulin for glucose

5.2.4. genetic predisposition: seen in DM1&2:

5.2.5. Diabetic foot is the reason why she is complaining of foot infection