Basic Guide to PBL

Differential diagnosis List out the differential diagnosis as u can (Some pre-reading will help) -State the positive history, state the negative history -Dif dig can be added or deleted as more triggers are revealed 4. Further history -Based on the dif dig, discuss the further questions to support or rule out your dif dig 5. Learning Issues Now discuss learning issues to be done, and list down on the board Finally discuss expected findings if possible 6.Physical Examination -Briefly discuss the PEE to perform, the normal findings and the expected outcome for ACH of the dif diagnosis -SEE questions will come out in similar fashion so treat this seriously to score in exam Make sure to do ALL of this before moving to trigger 2.. Trigger 2 1. Physical Examinations -Now compare the findings in the trigger with the previously discussed PEE in trigger 1 -Discuss each signs and its pathologically (SEE questions) -Note down learning issues along the way -Rule out or add dif dig 2.Investigatio ns -Briefly discuss the Investigation to order and the expected outcome for each of the if diagnosis -Be systematic and group your investigations (Blood ‘X, Imaging, urine IX etc) -Name each ‘X, the reason to order the ‘X, normal value(if possible) and expected result. -SEE questions will come out in similar fashion so treat this seriously to score in exam Trigger 3 1. Investigations -Compare the findings with previously discussed IX in trigger 2 -Discuss normal value and try to interpret the data (SEE question) -Note down learning issues along the way -Rule out dif dig 2.Diagnosis – by this time, the accurate diagnosis should have been made. Do the ethicalness of the disease as learning issue (very important in SEE) 2. Management -Outline your management of this patient before proceeding to trigger 3 (SEE questions) 3 basic steps of Mix (a) Identify the cause – Egg. The diagnosis may be stroke but u need to find the cause of the stroke through furthe r IX (b) Treat the disease – Non-pharmacological/ Pharmacological/Surgery/Radiation therapy (c) Prevent the complications -Acute Xx -Chronic Xx Trigger 4 1 .Management -Compare the management in the trigger with the mix in your discussions -Do learning issue on mix that u do not understand Classes, pharmaceutics, pharmacological and mode of action is more than enough -Ignore the doses -If possible ask the tutor or other doctors what are the type of drugs used by SUMS b)Surgery and radiation therapy -Know the procedure(brief) and possible complication 2.Prognosis and Rehabilitation -Briefly discuss about the prognosis of this disease -Outline your rehabilitation plan 3. Summarize -Summarize the whole case and the important points that u have learned in this Pl – Do as if u r doing a case summary after a clinical presentation (Clinical question) AY