Lesson 1History of present illness: chronological construction, onset, duration, exertional pattern, triggers, progressionExplains how to build the history of current illness for shortness of breath on exertion, focusing on start, length, pattern with effort, triggers, worsening, and past checks, to create a clear, time-based sign story.
Defining start, speed, and first attackDescribing effort levels and limitsFinding triggers and easing actionsRecording worsening and step changesPast tests, treatments, and reactionsPutting together a time-based symptom lineLesson 2Family history questions focused on cardiopulmonary, thromboembolic, and hereditary lung diseaseShows how to check family history related to shortness of breath on exertion, looking at heart muscle issues, irregular heartbeats, blood clot problems, and inherited lung conditions, with words that make it reliable and show hidden family risks.
Heart family history and early sudden deathInherited heartbeats and heart muscle diseasesFamily blood clot and clotting issuesInherited high lung pressure patternsGenetic lung diseases and early breathing failureBuilding family tree and warning group signsLesson 3Relieving and aggravating factors: posture, medications, exertion, environmental exposuresDescribes how to check easing and worsening factors for shortness of breath on exertion, including body position, medicines, effort level, and surroundings, and how these help tell apart heart, lung, and body function causes.
Body position changes and lying flat breathing checkExercise strength and effort limitsMedicine timing, easing, and side effectsSurroundings and work exposuresTime patterns and day to night changesPutting patterns into body process hintsLesson 4Medication, allergy, and vaccination questions with phrasing for accuracyShows how to ask about medicines, allergies, and vaccines in patients with shortness of breath on exertion, using exact words to help remember, find interactions, and spot avoidable lung or heart problems.
Current prescribed and shop-bought drugsInhalers, oxygen, and following treatment checkDrug and food allergies with reaction detailsVaccine history for flu and lung infectionCOVID and other needed shotsFinding interactions and no-go usesLesson 5Social history questioning scripts: smoking (pack-years), occupation, environmental exposures, alcohol, recreational drugs, physical activity levelGives scripts for social history on shortness of breath on exertion, covering smoking with pack-year count, job, surroundings exposures, alcohol, fun drugs, and body activity level, stressing risk grouping and no-shame words.
Smoking history, pack-years, and stoppingJob dust, smoke, and irritant exposureHome and surroundings breathing risksAlcohol drinking patterns and heart-lung riskFun drugs and how usedStarting body activity and function classLesson 6Structure and goals of anamnesis: identification, chief complaint, informed consent phrasingIntroduces the full setup and aims of history taking in shortness of breath on exertion, including patient ID, main problem wording, and clear, right consent words that build trust and set a focused, quick talk.
Patient ID and people backgroundMaking and writing the main problemExplaining talk aim and rangeConsent and secret-keeping wordsSetting plan and time with patientBalancing open hearing with aimed askingLesson 7Questions for associated symptoms: orthopnea, paroxysmal nocturnal dyspnea, chest pain, cough, wheeze, hemoptysis, syncope, palpitationsFocuses on getting key linked symptoms with shortness of breath on exertion, like lying flat breathing, night sudden shortness, chest pain, cough, wheeze, coughing blood, fainting, heart flutters, with words that make diagnosis clear.
Lying flat and night sudden shortnessDescribing effort and rest chest painCough, spit, and wheeze detailsCoughing blood strength and warning signsFainting, near-faint, and effort dizzinessHeart flutters, rhythm details, and triggersLesson 8Past medical history probing: cardiovascular, pulmonary, renal, thyroid, hematologic, metabolic, and psychiatric conditionsCovers aimed past health history for shortness of breath, highlighting heart vessel, lung, kidney, hormone, blood, body process, and mind health issues, and how each changes chance, outlook, and treatment safety in effort symptoms.
Heart vessel diseases and past heart checksLong lung problems and past worseningsKidney disease, fluid state, and low blood linksHormone imbalance and effort dislikeBlood and body process shortness causesMind health links and symptom feelingLesson 9Targeted review of systems: standardized phrasing for respiratory, cardiac, systemic (fevers, weight loss), and psychiatric symptoms to detect differential cluesExplains how to do an aimed body systems check using standard, easy words for breathing, heart, whole body, and mind symptoms, to find missed hints, linked issues, and danger signs that improve the cause list.
Breathing check for long and sudden symptomsHeart check for blood lack and heart failWhole body check for fever, weight drop, night sweatsMind check for worry and panic signsStandard words to cut confusionAiming and writing positive findingsLesson 10Exact question scripts for chief complaint and opening promptsShows exact start words and main problem questions made for shortness of breath on exertion, mixing open and closed styles, cutting hints, and setting a team tone that gets true, full symptom stories.
Neutral starts for first patient wordsClearing the main breathing worryLooking at patient hopes and fearsAvoiding leading or judging questionsMoving from open to aimed askingChecking understanding with patient sums
