Lesson 1Social and behaviour history: smoking, alcohol, job, living conditions, exercise, salt eatingThis lesson covers how to get a focused social and behaviour history, including smoking, alcohol, job, environmental exposures, living conditions, diet, exercise, and salt intake, and how these affect heart and lung risks.
Smoking history, pack-years, and quitting stageAlcohol drinking, screening, and adviceJob, dust, and chemical exposuresHome environment, heating, and dampnessPhysical activity, exercise, and limitationsEating patterns, salt intake, and weightLesson 2Warning signs and alarm symptoms: fainting, chest pain, coughing blood, sudden worsening, severe low blood pressureThis lesson explains spotting and exploring warning symptoms like fainting, sudden chest pain, coughing blood, sudden shortness of breath, and low blood pressure, stressing time course, related features, and when to rush for emergency care.
Describing sudden chest pain and startChecking fainting, near-fainting, and collapseAssessing coughing blood amount and triggersSudden shortness of breath and suspected lung clotSpotting shock, low blood pressure, and poor blood flowEscalation points and emergency referralLesson 3Talking skills and recording: open questions, focused clarifying questions, safety advice and noting key times and answersThis lesson focuses on building trust, using open and focused questions, exploring patient worries, summarising, safety advice, and properly recording symptoms, times, and answers in a clear, legal medical record.
Organising the heart and lung interviewUsing open questions to get the storyFocused clarifying questions for main symptomsChecking understanding and setting shared plansSafety advice, warning sign tips, and follow-upAccurate, time-noted medical recordingLesson 4Past medical history questions: high blood pressure, heart vessel disease, valve disease, rheumatic fever, COPD, sleep apnoea, anaemia, kidney diseaseThis lesson covers targeted questions about heart and lung related illnesses, including high blood pressure, heart vessel and valve disease, rheumatic fever, COPD, sleep apnoea, anaemia, and kidney disease, and how these affect risk and possible diagnoses.
Clarifying past heart diagnoses and treatmentsNoting high blood pressure length and controlHistory of rheumatic fever and valve effectsChronic lung disease, COPD, and asthma detailsSleep apnoea, obesity breathing issues, and CPAP useKidney disease, anaemia, and heart-kidney linksLesson 5Body-specific symptom checks: cough, wheeze, chest pain, heart flutters, swelling pattern, urine symptomsThis lesson guides body-based checks for lung, heart, and kidney symptoms, including cough, wheeze, chest pain, heart flutters, swelling pattern, urine changes, and general features that narrow possible diagnoses.
Lung review: cough, phlegm, and wheezeHeart review: chest pain and heart fluttersSwelling pattern and spreadNight urine, low urine, and kidney blockage signsGeneral symptoms: fever, weight loss, tirednessLinking body findings to possible diagnosesLesson 6Focused symptom history: shortness of breath start, worsening, lying flat breathing, sudden night shortness of breath, effort toleranceThis lesson teaches organised exploration of shortness of breath, lying flat breathing, sudden night shortness of breath, effort tolerance, cough, and related symptoms, focusing on start, worsening, triggers, and daily life impact.
Start and worsening of shortness of breath timelineLying flat breathing and sudden night shortness of breathEffort tolerance and activity limitsCough, phlegm, and wheeze descriptionChest tightness, pain, and heart fluttersImpact on sleep, work, and daily lifeLesson 7Family history and risk factors: early heart vessel disease, heart muscle diseases, blood clotting tendencyThis lesson covers getting family history of early heart vessel disease, heart muscle diseases, irregular heartbeats, blood clotting tendency, and sudden death, and combining genetic and shared lifestyle risks into risk grouping.
Early heart vessel disease in familyInherited heart muscle and rhythm diseasesFamily history of vein blood clotsSudden unexplained death and irregular heartbeatsShared lifestyle and environment factorsWhen to suggest genetic advice referralLesson 8Medicine review and following: prescribed, over-the-counter, herbal, following barriers, recent changesThis lesson explores systematic medicine history taking, including prescribed, over-the-counter and herbal drugs, recent changes, following barriers, side effects, and interactions related to heart and lung disease and worsening.
Listing all prescribed and over-the-counter medicinesIdentifying heart-active and lung drugsRecent medicine changes and worseningAssessing following, beliefs, and routinesSpotting bad effects and drug interactionsInhaler method and device problems
