Lesson 1Social and behavioral history: smoking, alcohol, occupation, living conditions, exercise, salt intakeThis lesson covers how to collect targeted social and lifestyle details, such as tobacco use, drinking habits, job-related risks, home surroundings, physical activity, eating patterns, and salt consumption, and their effects on heart and lung health risks in local contexts.
Tobacco use history, pack-years, and quitting progressDrinking levels, checks, and adviceJob, dust, and chemical risksHome setup, heating, and moisture issuesActivity levels, workouts, and restrictionsEating habits, salt use, and body weightLesson 2Red flag and alarm symptoms: syncope, chest pain, hemoptysis, sudden worsening, severe hypotensionThis part explains spotting and probing urgent symptoms like fainting, sudden chest discomfort, coughing blood, quick breathing trouble, and low blood pressure, stressing timing, linked signs, and steps for emergency help in resource-scarce areas.
Describing sudden chest discomfort and startChecking fainting, near-fainting, and fallsAssessing blood cough amount and causesSudden breathing issues and lung clot risksSpotting shock, low pressure, and poor flowUrgency levels and quick referralsLesson 3Communication skills and documentation: open questions, focused clarifying questions, safety netting and recording key timestamps and responsesThis focuses on creating trust, asking broad and specific questions, addressing worries, recapping, giving safety tips, and noting symptoms, times, and answers clearly for legal and care records in Eritrean health practices.
Organizing heart-lung talksBroad questions for storiesSpecific questions for main issuesConfirming grasp and plansSafety tips, warnings, and check-insClear, timed health notesLesson 4Past medical history probes: hypertension, ischemic heart disease, valvular disease, rheumatic fever, COPD, sleep apnea, anemia, renal diseaseThis covers focused questions on heart and lung related past illnesses, like high blood pressure, blocked heart vessels, valve problems, rheumatic issues, chronic lung obstruction, sleep breathing pauses, low blood, and kidney troubles, and how they affect risks and possible diagnoses.
Past heart issues and treatmentsHigh pressure length and managementRheumatic past and valve effectsLong-term lung issues, COPD, asthma infoSleep pauses, fat-related breathing, CPAPKidney troubles, low blood, heart-kidney linksLesson 5System-specific symptom screens: cough, wheeze, chest pain, palpitations, edema distribution, urinary symptomsThis guides checks for lung, heart, and kidney signs, including coughing, whistling breath, chest ache, heart flutters, swelling patterns, urine changes, and overall signs that help narrow down possible causes in primary care.
Lung check: cough, phlegm, whistlingHeart check: chest ache and fluttersSwelling patterns and spreadNight urine, low output, kidney backupBody signs: fever, loss, tirednessLinking checks to possible causesLesson 6Targeted symptom history: dyspnea onset, progression, orthopnea, paroxysmal nocturnal dyspnea, exertional toleranceThis teaches organized probing of breathing trouble, lying-flat issues, night waking breathlessness, effort limits, cough, and related signs, focusing on start, worsening, triggers, and daily life effects for better care.
Breathing trouble start and worsening timelineLying-flat and night breath issuesEffort limits and activity blocksCough, phlegm, whistling detailsChest squeeze, ache, heart fluttersEffects on rest, job, daily lifeLesson 7Family history and risk factors: premature cardiovascular disease, cardiomyopathies, thrombophiliaThis covers gathering family details on early heart vessel disease, heart muscle weaknesses, rhythm issues, clotting risks, sudden deaths, and blending genetic and shared life risks into patient risk levels.
Early heart vessel disease in familyInherited heart muscle and rhythm issuesFamily clot in veins historySudden deaths and rhythm problemsShared life and surroundings factorsGenetic advice referralsLesson 8Medication review and adherence: prescription, OTC, herbal, adherence barriers, recent changesThis explores thorough drug history checks, covering prescribed, over-counter, plant-based remedies, new shifts, sticking issues, side harms, and clashes relevant to heart-lung worsening in local settings.
All prescribed and over-counter drugsHeart and lung active drugsNew drug shifts and worseningSticking checks, beliefs, habitsSide harms and drug clashesInhaler use and tool problems
