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Case Name & Day
Restriction of Use: The School of Medicine considers all PBL cases and supporting materials
to be secure and intended solely for the educational purposes of the students and faculty of
the University of Texas Medical Branch. Students should not access the PBL cases prior to
release on the course website. At no time should the PBL cases and supporting materials be
copied or distributed. Individuals violating these policies are subject to disciplinary action.
Slide 1 of 28
Background
This slide includes:
• An introduction of the patient from his/her background story up
to the reason for the visit (possibly including a history of
present illness).
Begin a problem list on the whiteboard.
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Past Medical History
Continue the problem list (including current medications).
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Family History
Continue the problem list (if needed).
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Social History
Continue the problem list (if needed).
What would you want to learn from the physical exam?
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Physical Exam
• Review of Systems
• Physical findings
Continue the problem list as needed.
STOP and discuss before advancing to the next slide.
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Tasks
This slide might include:
• Can you form hypotheses regarding pathogenesis based on the
problem list? List them on whiteboard.
• Consider VITAMIN ABCDE.
• What other information would you like to have about the patient to
confirm or disconfirm hypotheses?
• How could you get the information you need?
Discuss the above tasks before proceeding to the next slide.
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Additional Information
This slide might include:
• Information from questions asked of the patient
• Lab values
• Exhibits
Revise the problem list as needed.
Prioritize hypotheses based on new information.
Slide 8 of 28
Exhibit 1
This slides will include:
• Exhibits that are embedded within the case (rather than
hyperlinked at the end of the case).
Slide 9 of 28
Tasks
This slide might include:
• Pharmacology
• Possible treatment choices
• Additional information needed about this patient
• Diagrams
Discuss the above tasks before proceeding to next slide.
Slide 10 of 28
End Day 1
Please turn off projector using the
wall-mounted key pad. Thank you.
Slide 11 of 28
Begin Day 2
Case Name & Day
Restriction of Use: The School of Medicine considers all PBL cases and supporting
materials to be secure and intended solely for the educational purposes of the students and
faculty of the University of Texas Medical Branch. Students should not access the PBL
cases prior to release on the course website. At no time should the PBL cases and
supporting materials be copied or distributed. Individuals violating these policies are subject
to disciplinary action.
Slide 12 of 28
Student Presents Patient
Subjective
• Patient Demographics
• PMH
• FH
• SH
• ROS
Objective
• PE
• Labs
Slide 13 of 28
Student Presents Patient
Assessment
• Primary problem
• Possible etiologies
• Relation among problems
• Rationale for interventions and diagnostic tests
Plan
• Current medications
• Management steps
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Learning Issues
Discuss the learning issues and apply them to the case.
Slide 15 of 28
Diagnosis
This slide includes:
• A diagnosis given to the patient and the patient’s
reaction/questions.
• Tasks that should prompt the students to answer any patient
questions and to justify the diagnosis given by providing the
confirming evidence for the diagnosis or the disconfirming
evidence for competing diagnoses.
STOP and discuss before advancing slide.
Slide 16 of 28
Treatment
Depending on the case, this may take the form of a description of
treatment undertaken or a description of treatment options
presented to the patient. This may take multiple slides and
include patient questions about treatment.
STOP and discuss before advancing slide.
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Tasks
Tasks at this point should include the impact of treatment - medically,
psychologically and socially.
Such as:
• Describe the effect of treatment(s) on problems.
• Describe other effects (possibly unintended) of treatment.
• Compare cost associated with treatment options.
• Discuss adherence issues for treatment regimen or recovery time if
treatment is surgical.
STOP and discuss before advancing slide.
Slide 18 of 28
End Day 2
Please turn off projector using the
wall-mounted key pad. Thank you.
Slide 19 of 28
Begin Day 3
Case Name & Day
Restriction of Use: The School of Medicine considers all PBL cases and supporting
materials to be secure and intended solely for the educational purposes of the students and
faculty of the University of Texas Medical Branch. Students should not access the PBL
cases prior to release on the course website. At no time should the PBL cases and
supporting materials be copied or distributed. Individuals violating these policies are subject
to disciplinary action.
Slide 20 of 28
Student Presents Patient
Subjective
•
•
•
•
•
Patient Demographics
PMH
FH
SH
ROS
Objective
• PE
• Labs
Slide 21 of 28
Student Presents Patient
Assessment
•
•
•
•
Plan
Primary problem
Possible etiologies
Relation among problems
Rationale for interventions and diagnostic tests
• Current medications
• Management steps
Slide 22 of 28
Learning Issues
Discuss the learning issues and apply them to the case.
Slide 23 of 28
Patient Follow-Up
This slide includes:
• Follow-up visit including unresolved problems
• Follow-up lab values where appropriate
Stop and discuss before advancing slide.
Slide 24 of 28
Synthesizing Tasks
This slide may include:
Learning activities, e.g., quizzes, concept maps, etc
• Are there tasks such as diagrams etc that would help
students synthesize the information in this case?
• Also consider alternate ending scenarios of how might this
outcome be different :
• if the patient were older or younger?
• had chosen a different treatment option
• had a concurrent diagnosis of . . ., etc.
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Theme Issues / Tasks
This slide may include:
• Tasks focused on issues about health care delivery, preventive
health, or professionalism that students should consider in
reflecting on the case.
Slide 26 of 28
End Day 3
Please turn off projector using the
wall-mounted key pad. Thank you.
Slide 27 of 28
Credits
Case author(s):
Image attribution:
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