Lesson 1Targeted review of systems to differentiate cardiac, pulmonary, GI, musculoskeletal causesYuh wi practice a targeted review a systems fi tell cardiac from pulmonary, belly, an muscle causes, zero in pon high-value questions dat sharpen di differential widout hold up 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 fi open di chat, use open questions, den clear up onset, character, radiation, severity, an duration. Big focus pon avoid bias, ketch timelines, an grade pain right.
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)Yuh wi learn fi ask bout shortness a breath, sweatiness, nausea, fainting, an heart flutters step by step, an fi read symptom mixes dat point to acute coronary syndrome, heart rhythm mess, or odder diagnoses.
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 yuh wi learn fi dig into smoking, alcohol, an party drugs, plus job an recent travel. Focus pon linkin exposures to heart risk, lung clot, an odder 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 yuh wi learn which family history bits change risk, how fi ask bout early heart disease an sudden death, an how fi write ages, diagnoses, an links clear an wid feelins.
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)Yuh wi learn fi link recent sickness, injury, or operation wid chest pain causes, an spot clot risk like not movin, cancer, an estrogen use dat raise flag fi lung clot.
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 workin out, position, food, an breathin change chest pain. Yuh wi learn fi tell angina, heart sack inflammation, reflux, an pleura pain by checkin triggers, relief, an daily timin careful.
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 go ova how fi pull past sickness history an heart risk factors like high blood pressure, high fat, sugar sickness, an past heart blockage, an how dem shift pretest chance an 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 zoom in pon gettin exact med list, includin over-counter, blood thinners, fat pills, an clot stoppas, an spottin allergies an past bad reactions key fi acute 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 fi word questions clear, skip jargon, an keep empathy. Yuh wi practice structurin notes, sum up key goods an bads, an write short exam reports an safe handovers.
Using patient-centered, nonjudgmental languageStructuring focused chest pain questionsSummarizing key positives and negativesWriting concise exam notes and reportsSafe, structured handover communication
