Lesson 1Targeted review of systems to differentiate cardiac, pulmonary, GI, musculoskeletal causesYou go practice sharp review of body systems to separate heart from lung, stomach, and muscle causes, focusing on key questions wey refine di possible problems without delaying urgent care.
Cardiac ROS for ischemia and pericarditisPulmonary ROS for PE and pneumothoraxGastrointestinal ROS for reflux and ulcerMusculoskeletal and chest wall questionsPrior similar episodes and chronicityLesson 2Open-ended and presenting complaint questions (onset, character, radiation, severity, duration)Dis part explain how to start di talk, use open questions, den clear onset, type, spread, strength, and time. Focus na to avoid bias, catch timelines, and grade pain proper.
Building rapport and opening the interviewUsing open-ended questions for chest painClarifying onset and temporal patternCharacter, location, and radiation of painSeverity scales and impact on functionLesson 3Associated symptoms (dyspnea, diaphoresis, nausea, syncope, palpitations)You go learn to ask steady about shortness of breath, sweating, nausea, fainting, and heart flutters, and interpret mix of symptoms wey point to heart attack, irregular beat, or other problems.
Characterizing dyspnea and orthopneaDiaphoresis and autonomic activationNausea, vomiting, and epigastric painSyncope, presyncope, and red flagsPalpitations and arrhythmia cluesLesson 4Social history and substance use (smoking quantity, alcohol, recreational drugs, occupational, recent travel)Here you go learn to check smoking, alcohol, and party drugs, plus work and recent travel. Focus na to link exposures to heart risk, lung clot, and other chest pain causes.
Quantifying tobacco exposure in pack-yearsAlcohol intake and cardiomyopathy riskCocaine and stimulant-associated ischemiaOccupational and environmental exposuresTravel history and venous thromboembolismLesson 5Family history of premature cardiovascular disease or sudden deathHere you go learn which family history change risk, how to ask about early heart disease and sudden death, and how to write ages, diagnoses, and relations clear and with care.
Defining premature cardiovascular diseaseKey questions about sudden cardiac deathDocumenting affected relatives and agesHereditary lipid and cardiomyopathy cluesHandling sensitive family discussionsLesson 6Recent infections, trauma, or surgeries and thromboembolic risk factors (immobility, cancer, estrogen use)You go learn to link recent infections, injury, or operation with chest pain causes, and spot clot risk like no movement, cancer, and hormone use wey raise lung clot suspicion.
Recent respiratory or systemic infectionsChest trauma and musculoskeletal injuryPostoperative and immobilization risksCancer, estrogen, and thrombophilia historyWhen to suspect pulmonary embolismLesson 7Provoking/relieving factors and timing (exertion, position, meals, respiration)Dis part cover how work, position, food, and breathing change chest pain. You go learn to separate heart pain, heart sack inflammation, acid reflux, and lung lining pain by checking triggers, relief, and daily timing.
Exertional angina and demand ischemiaPositional clues to pericardial diseaseMeal-related and reflux-associated painRespiratory and pleuritic pain patternsNocturnal and rest pain red flagsLesson 8Past medical history and cardiovascular risk factors (hypertension, hyperlipidemia, diabetes, prior coronary disease)Dis part review how to get past health history and heart risk factors like high blood pressure, high fat, sugar sickness, and old heart disease, and how dem change chance and urgency.
Documenting prior coronary eventsHypertension and end-organ damage historyHyperlipidemia and treatment adherenceDiabetes, kidney disease, and riskOther vascular and stroke historyLesson 9Medication, allergy, and anticoagulation history (current meds, aspirin/statin use, allergies)Dis part focus on getting exact drug list, including shop drugs, blood thinners, fat pills, and clot stoppers, and spotting allergies and past bad reactions for sharp chest pain care.
Verifying current prescription medicationsOver-the-counter and herbal productsAntiplatelet, statin, and anticoagulant useClarifying true drug allergies vs side effectsImplications for acute chest pain therapyLesson 10How to document and phrase questions clearly and compassionately for exam reports and handoversDis part teach how to word questions clear, avoid big words, and keep kindness. You go practice arranging notes, summing key yes and no, and writing short exam reports and safe handovers.
Using patient-centered, nonjudgmental languageStructuring focused chest pain questionsSummarizing key positives and negativesWriting concise exam notes and reportsSafe, structured handover communication
