Laerning Objective SKENARIO A: The students will be able to: 1. understand the mechanism of anemia 2.

explain the mechanism of anemia in thallassemia 3. explain the differential diagnosis of normocytic and hemolytic anemia 4. understand how to diagnose (anamnesis, physical, laboratory [ADT dan Hb Analisa]) 5. understand the management of thallassemia - transfusion - iron chelating agent 6. know the prognosis of thallassemia SKENARIO B: 1. To explain about the cause of anemia in this case (source of blood loss) 2. To explain about iron metabolism 3. To understand about the pathophysiology of hypochrome microcytic anemia 4. To make the diagnosis and differential diagnosis of iron deficient anemia 5. To understand about the management of iron deficient anemia: a. Management of anemia b. Mangement of the causes of anemia (ancylostomiasis and menometrorrhagia) SKENARIO C 1. Explain the classifications of leukemia (acute, chronic, lymphoblastic, myeloblastic leukemia) 2. Explain the possible cause of high fever and bleeding in the patient 3. Explain the possible cause of night sweating in this pts 4. Explain the differential diagnosis based on the above data 5. Plan further laboratory examination 6. Diagnose the disease 7. Manage the patient SKENARIO D 1. To explain the pathogenesis of erythrocytosis, leucocytosis, thrombocytosis in this case. 2. To explain the cause of symptoms (abdominal discomfort, splenomegaly, night sweating, headache, vertigo, itching) in this case 3. To make diagnosis and differential diagnosis of polycythemia vera 4. To explain the complications of polycytemia vera SKENARIO E 1. Explain the cause of bleeding and failure of hemostatic mechanism in this patient 2. Differenciate primary from secondary haemostatic disturbance 3. Explain symptoms and signs of primary and secondary haemostatic disturbance 4. Diagnosis and differential diagnosis of patient 5. Plan additional examination 6. Using laboratory result (hemostasis) in patient with bleeding

7. Manage the patient