Lesson 1Family and genetic history: patterns of hair loss in first- and second-degree relatives and age of onsetDis section cover elicitin family patterns a hair loss an scalp disease. Learners ago map inheritance, age a onset, an severity fi support diagnosis a androgenetic alopecia an genetic syndromes.
Ask bout hair loss in first-degree relativesExtend history to second-degree relativesClarify age a onset an progression in familyIdentify family history a scarin alopeciasExplore ethnic an racial pattern differencesDraw a simple family hair loss pedigreeLesson 2Styling and mechanical factors: heat tool use, drying practices, tight hairstyles, hair accessory use, and parting habitsDis section examine mechanical an stylin practices dat contribute to hair an scalp damage. Focus a pon traction, heat, friction, an product buildup, wid questions dat quantify frequency an technique.
Assess frequency a blow-dryin an hot toolsClarify temperature an heat protection useAsk bout tight styles, braids, an extensionsReview use a wigs, weaves, an hair systemsEvaluate combin, brushin, an detanglin habitsIdentify helmet, headwear, an friction sourcesLesson 3Symptom-specific questioning: onset, pattern, duration of shedding, pruritus, pain, scalp symptoms, and seasonal variationDis section focus pon targeted symptom questions fi hair an scalp complaints. Learners ago refine onset, duration, pattern, associated sensations, an triggers fi distinguish common alopecia an scalp disease types.
Clarify onset, tempo, an duration a symptomsCharacterize sheddin pattern an daily amountLocalize hair loss distribution an symmetryAssess pruritus, pain, burnin, an tendernessAsk bout flakin, pustules, an crustinExplore seasonal or cyclical symptom changesLesson 4Psychosocial and stress assessment: recent life events, occupational stress, sleep, and mental health screening questionsDis section guide structured questionin bout stress, mood, an sleep. Learners ago connect psychosocial stressors, anxiety, depression, an poor sleep wid telogen effluvium an maladaptive hair behaviors.
Explore recent major life events an lossesAssess occupational an caregiver stress loadScreen fi anxiety, depression, an burnoutAsk bout sleep duration an sleep qualityIdentify hair-focused body repetitive behaviorsDiscuss copin strategies an support systemsLesson 5Medication, supplement, and hormonal history: prescription drugs, OTCs, steroids, contraceptives, and recent changesDis section explain how fi obtain a precise list a medications, supplements, an hormonal agents. Emphasis place pon timin a changes, dose, an known drug-induced alopecia or telogen effluvium triggers.
Compile full prescription medication listReview over-de-counter an herbal productsScreen fi retinoids, anticoagulants, an chemoAssess contraceptives an hormone therapiesClarify recent dose or regimen modificationsCorrelate drug timeline wid hair changesLesson 6Lifestyle, nutrition, and substance use: diet patterns, protein and micronutrient intake, caffeine, alcohol, smoking, and recent weight loss or dietingDis section explore lifestyle, diet, an substance use factors dat affect hair. Learners ago assess nutritional adequacy, restrictive eatin, weight change, an exposure to alcohol, nicotine, an caffeine.
Assess typical daily an weekly diet patternScreen fi restrictive or fad dietin historyDocument recent weight loss an appetite changeEvaluate protein an micronutrient intakeAsk bout alcohol, smokin, an vapinReview caffeine intake an energy drink useLesson 7Red flags and urgent symptoms: sudden hair loss, scarring signs, pustules, systemic symptoms, or rapid progression that require immediate referralDis section train clinicians fi recognize red flag symptoms dat demand urgent action. Emphasis a pon rapid loss, scarin, pustules, systemic illness, an when fi expedite dermatology or emergency referral.
Identify sudden diffuse or patchy hair lossRecognize signs a scarin an atrophyScreen fi painful, boggy, or purulent lesionsLink fever, weight loss, or night sweatsFlag rapid progression despite gentle careDefine criteria fi urgent specialist referralLesson 8Structured medical history: systemic illnesses, recent infections, surgeries, autoimmune disease, thyroid disease, and chronic conditionsDis section teach how fi structure a concise but complete medical history. Focus a pon systemic illnesses, endocrine an autoimmune disease, infections, surgeries, an chronic conditions dat influence hair growth.
Screen fi thyroid an other endocrine diseaseReview autoimmune an connective tissue diseaseAsk bout recent infections an high feversDocument surgeries, anesthesia, an hospital staysAssess chronic liver, kidney, an gut disordersReview chronic pain, fatigue, an other symptomsLesson 9Reproductive and endocrine history: menstrual pattern, pregnancies, menopausal symptoms, libido changes, and signs of androgen excessDis section detail reproductive an endocrine history relevant to hair. Learners ago connect menstrual patterns, pregnancy, menopause, libido, an androgen excess signs wid common hormonal alopecias.
Clarify menarche, cycle length, an regularityAsk bout pregnancies, births, an miscarriagesReview postpartum hair sheddin episodesScreen fi hot flashes an menopausal timinAssess hirsutism, acne, an androgenic signsDiscuss libido changes an sexual functionLesson 10Haircare and chemical exposure history: frequency and type of coloring, bleaching, perming, relaxers, professional salon treatments, and at-home productsDis section detail how fi systematically explore haircare routines an chemical exposures. Learners ago link colorin, relaxin, bleachin, an product use wid breakage, fragility, scalp irritation, an chronic damage patterns.
Document hair wash an conditionin frequencyAssess salon versus at-home chemical treatmentsClarify history a colorin, bleachin, an toninReview relaxers, perms, an keratin treatmentsIdentify use a harsh shampoos or cleansersRecord leave-in, oil, an stylin product use
