Lesson 1Targeted review of systems to differentiate cardiac, pulmonary, GI, musculoskeletal causesYou go practice straight review of body systems to tell heart from lung, belly, and muscle-bone pain causes, focusing on key questions dat sharpen de list without holding up urgent help.
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 talk, use open questions, den clear up start time, feel, spread, strongness, and how long. Focus on no bias, catch timelines, and 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)You go learn to ask steady about hard breath, sweat, sick belly, faint, and heart jump, and read mixes of signs dat point to heart attack block, heart rhythm mess, or other.
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, drink, party drugs, work, and recent travel. Focus on linking dem to heart risk, lung clot, and other chest pain reasons.
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 sickness and sudden pass, and how to write ages, sickness, and kin clear and soft.
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 sick, hurt, or cut-open with chest pain reasons, and spot clot risk like no move, cancer, woman hormone dat raise lung clot worry.
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, lie, food, breath change chest pain. You go learn to tell heart tight, heart sack sick, belly burn, lung skin pain by check triggers, ease, day-night time.
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 check how to pull old sick history and heart risk like high blood, fat blood, sugar sick, past heart block, and how dem change chance and hurry.
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 get true med list, with shop drugs, blood thin, fat med, clot stop, and spot allergy and bad past react 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, no big talk, keep heart. You go practice note structure, sum good and no good, write short exam paper and safe pass-over.
Using patient-centered, nonjudgmental languageStructuring focused chest pain questionsSummarizing key positives and negativesWriting concise exam notes and reportsSafe, structured handover communication
