Lesson 1History of Present Illness: Chronological Build, Onset, Duration, Exertional Pattern, Triggers, ProgressionExplains how to build the history of present illness for exertional shortness of breath, stressing onset, duration, exertional pattern, triggers, progression, and previous checks, to create a clear, time-linked sign story.
Defining Onset, Tempo, and First EpisodeCharacterising Exertional Thresholds and LimitsIdentifying Triggers and Relieving MovesDocumenting Progression and Step ChangesPrior Tests, Treatments, and ResponsesSynthesising a Chronological Symptom TimelineLesson 2Family History Questions Focused on Heart-Lung, Blood Clot, and Inherited Lung DiseaseDetails how to probe family history relevant to exertional shortness of breath, focusing on heart muscle diseases, irregular heartbeats, blood clot disease, and inherited lung problems, with wording that boosts reliability and uncovers subtle inherited risk patterns.
Heart Family History and Early Sudden DeathInherited Irregular Heartbeats and Heart Muscle DiseasesFamily Blood Clot and Clotting DisordersInherited High Lung Pressure PatternsGenetic Lung Diseases and Early Breathing FailureBuilding Family Tree and Red Flag GroupingLesson 3Relieving and Aggravating Factors: Posture, Medicines, Exertion, Environmental ExposuresDescribes how to probe relieving and aggravating factors for exertional shortness of breath, including posture, medicines, exertion level, and environmental exposures, and how these patterns help separate heart, lung, and functional causes.
Postural Changes and Sleeping Shortness AssessmentExercise Intensity and Exertional ThresholdsMedicine Timing, Relief, and Side EffectsEnvironmental and Work ExposuresTime Patterns and Day to Night VariationIntegrating Patterns into Body Process CluesLesson 4Medicine, Allergy, and Vaccination Questions with Phrasing for AccuracyDetails how to ask about medicines, allergies, and vaccinations in patients with exertional shortness of breath, using precise phrasing to improve recall, spot interactions, and identify preventable breathing or heart complications.
Current Prescription and Over-the-Counter DrugsInhalers, Oxygen, and Adherence CheckDrug and Food Allergies with Reaction DetailsVaccine History for Flu and PneumoniaCOVID and Other Relevant ShotsIdentifying Interactions and No-Go AreasLesson 5Social History Questioning Scripts: Smoking (Pack-Years), Occupation, Environmental Exposures, Alcohol, Recreational Drugs, Physical Activity LevelProvides scripts for social history focused on exertional shortness of breath, covering smoking with pack-year count, occupation, environmental exposures, alcohol, recreational drugs, and physical activity level, stressing risk grouping and shame-free wording.
Smoking History, Pack-Years, and QuittingWork Dust, Fumes, and Irritant ExposureHome and Environmental Breathing RisksAlcohol Intake Patterns and Heart-Lung RiskRecreational Drugs and Use MethodBaseline Physical Activity and Function ClassLesson 6Structure and Goals of Patient History Taking: Identification, Main Complaint, Informed Consent PhrasingIntroduces the overall structure and goals of patient history taking in exertional shortness of breath, including patient identification, main complaint wording, and clear, ethical informed consent phrasing that builds trust and frames a focused, efficient chat.
Patient Identification and Background ContextFormulating and Recording the Main ComplaintExplaining Purpose and Scope of the ChatInformed Consent and Privacy WordingSetting Agenda and Time Frame with PatientBalancing Open Listening with Focused AskingLesson 7Questions for Associated Symptoms: Sleeping Shortness, Nighttime Sudden Shortness, Chest Pain, Cough, Wheeze, Coughing Blood, Fainting, Heart RacingFocuses on systematically drawing out key associated symptoms that come with exertional shortness of breath, such as sleeping shortness, nighttime sudden shortness, chest pain, cough, wheeze, coughing blood, fainting, and heart racing, with phrasing that sharpens diagnosis meaning.
Sleeping Shortness and Nighttime Sudden ShortnessCharacterising Exertional and Resting Chest PainCough, Phlegm, and Wheeze DescriptionCoughing Blood Severity and Red Flag FeaturesFainting, Near-Fainting, and Exertional DizzinessHeart Racing, Rhythm Description, and TriggersLesson 8Past Medical History Probing: Heart, Lung, Kidney, Thyroid, Blood, Metabolic, and Mental Health ConditionsCovers targeted past medical history for shortness of breath, highlighting heart, lung, kidney, hormone, blood, metabolic, and mental health conditions, and how each changes pre-test chance, outlook, and treatment safety in exertional symptoms.
Heart Diseases and Prior Heart ChecksChronic Lung Problems and Prior Flare-UpsKidney Disease, Fluid Status, and Low Blood LinksThyroid Issues and Exercise IntoleranceBlood and Metabolic Contributors to ShortnessMental Health Co-Issues and Symptom PerceptionLesson 9Targeted Body Systems Review: Standard Phrasing for Breathing, Heart, General (Fevers, Weight Loss), and Mental Symptoms to Spot Differential CluesExplains how to do a targeted body systems review using standard, patient-friendly wording for breathing, heart, general, and mental symptoms, aiming to uncover missed clues, co-issues, and alarm signs that sharpen the differential.
Breathing Review for Chronic and Acute SymptomsHeart Review for Blocked Blood and Heart FailureGeneral Review for Fever, Weight Loss, Night SweatsMental Review for Worry and Panic FeaturesStandard Phrasing to Cut AmbiguityPrioritising and Documenting Positive FindingsLesson 10Exact Question Scripts for Main Complaint and Opening PromptsPresents exact opening prompts and main complaint questions tailored to exertional shortness of breath, balancing open and closed formats, minimising suggestion, and setting a team tone that encourages accurate, detailed symptom stories.
Neutral Openers for First Patient StatementsClarifying the Main Breathing ConcernExploring Patient Expectations and FearsAvoiding Leading or Judging QuestionsTransitioning from Open to Focused AskingChecking Understanding with Patient Summaries
