Lesson 1Social an Behavioral History: Smokin, Alcohol, Occupation, Livin Conditions, Exercise, Salt IntakeAddress how fi obtain a focused social an behavioral history, includin smokin, alcohol, occupation, environmental exposures, livin conditions, diet, exercise, an salt intake, an how dese influence cardiopulmonary risk.
Smokin history, pack-years, an cessation stageAlcohol intake, screenin, an counselinOccupation, dust, an chemical exposuresHome environment, heatin, an dampnessPhysical activity, exercise, an limitationsDietary patterns, salt intake, an weightLesson 2Red Flag an Alarm Symptoms: Syncope, Chest Pain, Hemoptysis, Sudden Worsenin, Severe HypotensionDetails recognition an exploration a red flag symptoms like syncope, acute chest pain, hemoptysis, sudden dyspnea, an hypotension, emphasizin time course, associated features, an when fi escalate fi emergency care.
Characterizin acute chest pain an onsetAssessin syncope, presyncope, an collapseEvaluatin hemoptysis volume an triggersSudden dyspnea an suspected pulmonary embolismRecognizin shock, hypotension, an poor perfusionEscalation thresholds an emergency referralLesson 3Communication Skills an Documentation: Open Questions, Focused Clarifyin Questions, Safety Netting an Record Key Timestamps an ResponsesFocuses pon buildin rapport, usin open an focused questions, explorin patient concerns, summarizin, safety nettin, an accurately documentin symptoms, timestamps, an responses inna clear, medico-legal clinical record.
Structurin di cardiopulmonary interviewUsin open questions fi elicit di narrativeFocused clarifyin questions fi key symptomsCheckin understandin an shared agenda settinSafety nettin, red flag advice, an follow-upAccurate, time-stamped clinical documentationLesson 4Past Medical History Probes: Hypertension, Ischemic Heart Disease, Valvular Disease, Rheumatic Fever, COPD, Sleep Apnea, Anemia, Renal DiseaseCovers targeted questionin bout cardiovascular an respiratory comorbidities, includin hypertension, ischemic an valvular disease, rheumatic fever, COPD, sleep apnea, anemia, an renal disease, an how dese shape risk an differential diagnosis.
Clarifyin prior cardiac diagnoses an interventionsDocumentin hypertension duration an controlHistory a rheumatic fever an valvular sequelaeChronic lung disease, COPD, an asthma detailsSleep apnea, obesity hypoventilation, an CPAP useRenal disease, anemia, an cardiorenal interactionsLesson 5System-Specific Symptom Screens: Cough, Wheeze, Chest Pain, Palpitations, Edema Distribution, Urinary SymptomsGuides system-based screenin fi respiratory, cardiac, an renal symptoms, includin cough, wheeze, chest pain, palpitations, edema pattern, urinary changes, an constitutional features dat refine di differential diagnosis.
Respiratory review: cough, sputum, an wheezeCardiac review: chest pain an palpitationsPeripheral edema pattern an distributionNocturia, oliguria, an renal congestion signsSystemic symptoms: fever, weight loss, fatigueLinkin system findings to differential diagnosisLesson 6Targeted Symptom History: Dyspnea Onset, Progression, Orthopnea, Paroxysmal Nocturnal Dyspnea, Exertional ToleranceTeaches structured exploration a dyspnea, orthopnea, paroxysmal nocturnal dyspnea, exertional tolerance, cough, an associated symptoms, focusin pon onset, progression, triggers, an functional impact pon daily activities.
Onset an progression a dyspnea timelineOrthopnea an paroxysmal nocturnal dyspneaExertional tolerance an activity limitationCough, sputum, an wheeze characterizationChest tightness, pain, an palpitationsImpact pon sleep, work, an daily functioninLesson 7Family History an Risk Factors: Premature Cardiovascular Disease, Cardiomyopathies, ThrombophiliaCovers elicitin family history a premature cardiovascular disease, cardiomyopathies, arrhythmias, thrombophilia, an sudden death, an integratin genetic an shared lifestyle risks into risk stratification.
Premature coronary artery disease inna relativesInherited cardiomyopathies an channelopathiesFamily history a venous thromboembolismSudden unexplained death an arrhythmiasShared lifestyle an environmental factorsWhen fi consider genetic counselin referralLesson 8Medication Review an Adherence: Prescription, OTC, Herbal, Adherence Barriers, Recent ChangesExplores systematic medication history takin, includin prescriptions, OTC an herbal drugs, recent changes, adherence barriers, side effects, an interactions relevant to cardiopulmonary disease an decompensation.
Listin all prescription an OTC medicationsIdentifiyin cardioactive an respiratory drugsRecent medication changes an decompensationAssessin adherence, beliefs, an routinesDetectin adverse effects an drug interactionsInhaler technique an device-related issues