Lesson 1Directed chest pain history: characteristics, radiation, duration, exertional vs rest, associated symptoms (diaphoresis, nausea, syncope)Dis section teach a focused, structured chest pain history, includin location, quality, radiation, duration, triggers, an associated symptoms, fi distinguish ischemic, pulmonary, musculoskeletal, an gastrointestinal causes an guide next steps.
Location, quality, an radiation a chest painOnset, duration, an temporal pain patternsExertional, positional, an pleuritic featuresAssociated symptoms: diaphoresis, nausea, syncopeDifferentiating cardiac from noncardiac painLesson 2Genitourinary an endocrine screening: polyuria, polydipsia, nocturia, ED, weight changes, family history a diabetesDis section outline targeted genitourinary an endocrine screening relevant to cardiometabolic disease, includin polyuria, polydipsia, nocturia, ED, weight change, an diabetes family history, fi uncover undiagnosed or poorly controlled disease.
Polyuria, polydipsia, an hyperglycemia cluesNocturia patterns an volume status assessmentErectile dysfunction an vascular riskUnintentional weight loss or gain patternsFamily history a diabetes an endocrine diseaseLesson 3Medication, allergy, an supplement review: OTCs, herbal remedies, NSAID use an potential BP effectsDis section explain how fi obtain a precise medication, allergy, an supplement history, includin OTCs, herbal products, an NSAID use, wid emphasis on interactions, blood pressure effects, adherence, an documentation fi safe prescribing.
Systematic prescription medication reconciliationIdentifying an classifying drug allergiesOTC an herbal supplement interaction risksNSAID use, fluid retention, an BP elevationAssessing adherence an barriers to regimensLesson 4Symptom red flags an timeline: sudden worsening, syncope, hemoptysis, lower-extremity swelling, feverDis section cover identification a symptom red flags an temporal patterns, includin sudden worsening, syncope, hemoptysis, edema, an fever, an teach how fi construct timelines dat guide triage, differential diagnosis, an escalation.
Eliciting sudden versus gradual symptom onsetRecognizing syncope an presyncope red flagsHemoptysis, fever, an infection concernsLower-extremity swelling an volume overloadConstructing a clear symptom chronologyLesson 5Functional an cognitive screening: activities a daily living, depression/anxiety screening, cognition relevant to shared decision-making an adherenceDis section address functional an cognitive screening in cardiometabolic care, includin ADLs, IADLs, mood, cognition, an health literacy, fi identify limitations dat affect prognosis, shared decisions, an treatment adherence.
Assessing ADLs an instrumental ADLsScreening fi depression an anxiety symptomsBrief cognitive screening tools in practiceEvaluating health literacy an understandingLinking function an cognition to adherenceLesson 6Social determinants an behavioral risk factors: tobacco use history (pack-years), alcohol use screening (AUDIT-C principles), diet, sleep, occupational activityDis section detail how fi assess social determinants an behaviors dat shape cardiometabolic an cardiopulmonary risk, includin tobacco, alcohol, diet, sleep, an occupational activity, an how fi document an counsel patients effectively.
Assessing tobacco history an pack-year calculationScreening alcohol use wid AUDIT-C principlesEvaluating diet quality an cardiometabolic impactSleep duration, quality, an cardiopulmonary effectsOccupational activity, sedentary time, an workloadLesson 7Cardiovascular risk an past medical history: prior hypertension, hyperlipidemia, known CAD, stroke, PAD, medications an adherenceDis section review how fi obtain targeted cardiovascular risk an past medical history, includin hypertension, lipids, CAD, stroke, PAD, diabetes, an medication adherence, fi estimate risk an tailor prevention an treatment plans.
Documenting hypertension an BP control historyHyperlipidemia, statin use, an lipid goalsPrior CAD, MI, revascularization, an anginaHistory a stroke, TIA, an peripheral artery diseaseDiabetes, CKD, an other risk-enhancing factorsLesson 8Dyspnea an exertional intolerance: onset, orthopnea, PND, DOE, activity level quantification, prior baseline functionDis section focus on structured assessment a dyspnea an exertional intolerance, includin onset, triggers, orthopnea, PND, DOE, an baseline function, fi differentiate cardiac, pulmonary, an other causes an guide urgency a evaluation.
Characterizing onset, pattern, an progressionOrthopnea an paroxysmal nocturnal dyspneaQuantifying DOE an activity limitationsComparing current status to prior baselineDistinguishing cardiac from pulmonary dyspnea
