Lesson 1Systematic symptom inquiry: sleep, mood, cognition, weight, feversYou will master a step-by-step method for probing symptoms in patients feeling tired, including sleep patterns, emotional state, thinking ability, eating habits, body weight shifts, high temperatures, night sweats, and body aches, to form a sharp list of possible causes and direct necessary tests.
Clarifying poor sleep quality and loud breathingChecking for low spirits, loss of joy, and worryEvaluating focus, recall, and mental cloudinessInquiring about body weight changes and hunger variationsAssessing high temperatures, cold shivers, sweats, and muscle painsLesson 2How to ask about psychiatric symptoms: depression, anxiety, PTSDThis part teaches how to inquire about depression, anxiety, PTSD, and similar issues sensitively and with trauma awareness, employing proven screening methods, everyday language, and direct follow-up queries on dangers and daily disruptions.
Applying PHQ-2 and PHQ-9 in tiredness checksScreening for widespread worry symptomsTrauma-aware queries on PTSD traitsEvaluating suicide thoughts and self-injury dangersExploring sleep issues, guilt feelings, and focus shiftsLesson 3Framing questions to elicit sleep hygiene, shift work, and circadian issuesThis part concentrates on posing exact questions about sleep routines, sleep habits, night shifts, and body clock disturbances, assisting you to separate lifestyle sleep problems from main sleep conditions and health-related tiredness causes.
Describing sleep time, rising time, and changesUse of caffeine, booze, and calming drugs before bedChecking for night shifts and changing timetablesSpotting travel time differences and body clock mismatchesBedroom setup and bedtime habitsLesson 4Medication, substance, and supplement review focused on fatigue causesThis part delves into a thorough check of prescribed medicines, over-the-counter items, addictive substances, and health boosters that might trigger or increase tiredness, highlighting specific question styles and tips to encourage honest patient sharing.
Spotting sleep-inducing and drying-mouth drugsChecking for heart-slowing and blood pressure medsAsking about booze, weed, and illegal substancesReviewing shop-bought allergy pills and sleep helpersRecording plant-based and food supplement usageLesson 5Functional impact and screening for red flags (work, ADLs, safety)Here, you will learn to gauge how tiredness affects job, learning, driving, and personal care, and to check for warning signs like heart-lung problems, infections, cancers, and suicide risks that demand quick checks or advanced care levels.
Assessing changes in job and school outputEvaluating daily tasks, complex chores, and family care rolesScreening for heart-lung warning symptomsSpotting infections, cancers, and weight dropsAssessing dangers like falls and road safetyLesson 6Principles of focused history-taking in primary careThis part outlines how to organise a targeted tiredness history in basic health care, mixing completeness with time limits, using open and yes/no questions, putting safety first, and adjusting the chat to patient's age, other illnesses, and visit purpose.
Setting the talk agenda and clearing patient worriesUsing wide questions to begin the historyFocused body system review for tirednessBalancing detail with time pressuresAdjusting history for sudden vs long-term tirednessLesson 7Documentation templates and succinct handoff language for preceptorsHere, you will learn to record a short, issue-centred tiredness history with formats, main words, and organised checks, and to give clear, arranged spoken updates that point out warnings and next check steps.
SOAP record format for tiredness visitsQuick wording of key positive findingsRecording key negatives and warningsSumming up daily impact and safety mattersOrganising a straightforward, brief spoken updateLesson 8Assessing menstrual, menopausal, and endocrine history in middle-aged patientsThis part instructs on gathering monthly cycle, change-of-life, thyroid, and other body balance histories in mid-age patients with tiredness, covering cycle habits, hot flush signs, hormone treatments, and risks for balance disorders.
Describing monthly cycle steadiness and blood flowScreening for change-of-life hot flushesHistory of hormone meds and birth controlTargeted thyroid and stress gland symptom queriesAssessing sugar sickness and body balance risksLesson 9Targeted family and social history questions relevant to fatigueHere, you will learn to collect focused family and community histories linked to tiredness, including inherited sicknesses, care-giving loads, work exposures, money worries, and living ways that affect sleep and vigour.
Family history of thyroid and self-attack diseasesInherited sleep, heart, and mood sicknessesAssessing care-giving duties and exhaustion risksWork demands and surroundings exposuresMoney, home, and food shortage checksLesson 10Temporal features: onset, duration, pattern, triggersYou will learn to describe the time-based nature of tiredness, including start, length, daily rhythm, starters, and easing factors, to tell short-term from ongoing tiredness and find hints of germ, balance, or mind-related causes.
Clarifying sudden, medium, or ongoing startDaily rhythm and changes in tirednessSpotting effort and mind-based startersEasing factors and rest reactionsTime links to sickness, pressure, or happenings
