Lesson 1Social and behavioural history: smoking, alcohol, occupation, living conditions, exercise, salt intakeThis lesson covers getting a focused social and behavioural history, like smoking, alcohol use, job, home exposures, living setup, food habits, exercise, and salt eating, and how they affect heart and lung risks in Nigerian contexts.
Smoking history, pack-years, and quitting stageAlcohol consumption, checks, and adviceJob, dust, and chemical exposuresHome setup, heating, and wetnessPhysical activity, exercise, and limitsEating patterns, salt intake, and body weightLesson 2Red flag and alarm symptoms: fainting, chest pain, coughing blood, sudden worsening, severe low blood pressureThis lesson explains spotting and checking red flag symptoms like fainting, sudden chest pain, coughing blood, quick shortness of breath, and low blood pressure, stressing time, linked signs, and when to rush for emergency help in local settings.
Describing sudden chest pain and startChecking fainting, near-fainting, and fallsAssessing blood in cough amount and causesSudden breathlessness and possible lung clotSpotting shock, low pressure, and poor flowLevels for rushing and emergency send-offLesson 3Communication skills and documentation: open questions, focused clarifying questions, safety netting and recording key timestamps and responsesThis lesson focuses on building trust, using open and pointed questions, checking patient worries, summing up, safety advice, and properly noting symptoms, times, and answers in a clear, legal clinic record for Nigerian practice.
Setting up the heart-lung talkUsing open questions to get the storyPointed questions for main symptomsChecking grasp and setting shared plansSafety advice, warning tips, and check-insProper, time-noted clinic notesLesson 4Past medical history probes: high blood pressure, heart vessel disease, valve problems, rheumatic fever, COPD, sleep apnea, low blood, kidney diseaseThis lesson deals with targeted questions on heart and lung related illnesses, like high blood pressure, blocked heart vessels, valve issues, rheumatic fever, COPD, sleep stops, low blood, and kidney problems, and how they affect risks and possible diagnoses.
Clearing past heart diagnoses and fixesNoting high blood pressure length and controlHistory of rheumatic fever and valve effectsLong lung illness, COPD, and asthma detailsSleep apnea, fat breathing issues, and machine useKidney illness, low blood, and heart-kidney linksLesson 5System-specific symptom screens: cough, wheeze, chest pain, heart flutters, swelling pattern, urine symptomsThis lesson guides system-based checks for lung, heart, and kidney signs, including cough, wheeze, chest pain, heart racing, swelling type, urine changes, and body-wide features that sharpen possible diagnoses in primary care.
Lung check: cough, phlegm, and wheezeHeart check: chest pain and racingLimb swelling type and spreadNight urine, low urine, and kidney block signsBody signs: fever, weight drop, tirednessLinking system signs to possible illnessesLesson 6Targeted symptom history: breathlessness start, worsening, lying flat breath, night breath attacks, effort toleranceThis lesson teaches structured checking of breathlessness, lying flat issues, night breath attacks, effort limits, cough, and linked signs, focusing on start, worsening, triggers, and daily life effects in Nigerian patients.
Start and worsening of breathlessness timelineLying flat breath and night attacksEffort limits and activity blocksCough, phlegm, and wheeze detailsChest tightness, pain, and racingEffects on sleep, work, and daily lifeLesson 7Family history and risk factors: early heart vessel disease, heart muscle weakness, blood clotting tendencyThis lesson covers getting family history of early heart vessel disease, heart muscle issues, irregular beats, clotting risks, and sudden death, and mixing family genes and shared life risks into risk levels.
Early blocked heart vessels in familyInherited heart muscle and beat issuesFamily history of vein blood clotsSudden unexplained death and beat problemsShared life and surroundings factorsWhen to send for gene adviceLesson 8Medication review and adherence: prescription, over-the-counter, herbal, adherence barriers, recent changesThis lesson explores full drug history taking, including prescribed, shop-bought and herbal medicines, recent shifts, sticking barriers, side effects, and clashes relevant to heart-lung illness and worsening in local practice.
Listing all prescribed and shop drugsSpotting heart and lung active drugsRecent drug shifts and worseningChecking sticking, beliefs, and habitsFinding bad effects and drug clashesInhaler use and device problems
