Lesson 1Social and behavioural history: smoking, alcohol, occupation, living conditions, exercise, salt intakeCovers obtaining a targeted social and behavioural history, covering smoking, booze, job, environmental contacts, home setup, eating habits, workout, and salt consumption, and their effects on heart-lung risks.
Smoking history, pack-years, and quitting stageBooze consumption, checks, and adviceJob, dust, and chemical contactsHome setup, heating, and dampnessPhysical activity, workout, and limitsEating patterns, salt consumption, and weightLesson 2Red flag and alarm symptoms: syncope, chest pain, hemoptysis, sudden worsening, severe hypotensionOutlines spotting and probing red flag symptoms like fainting, sharp chest pain, coughing blood, abrupt breathlessness, and low blood pressure, stressing timeline, linked traits, and escalation for urgent care.
Describing sharp chest pain and startEvaluating fainting, near-fainting, and collapseAssessing coughing blood amount and triggersAbrupt breathlessness and possible lung clotSpotting shock, low blood pressure, and poor flowEscalation points and urgent referralLesson 3Communication skills and documentation: open questions, focused clarifying questions, safety netting and recording key timestamps and responsesEmphasises rapport building, open and targeted questions, patient worries, summing up, safety advice, and precise noting of symptoms, times, and replies in a clear, legal medical record.
Structuring the heart-lung chatUsing open questions for the storyTargeted clarifying questions for main symptomsChecking grasp and shared plansSafety advice, red flag tips, and check-insPrecise, time-noted clinical notesLesson 4Past medical history probes: hypertension, ischaemic heart disease, valvular disease, rheumatic fever, COPD, sleep apnoea, anaemia, renal diseaseAddresses focused queries on heart and lung related conditions, including high blood pressure, blocked heart arteries, valve issues, rheumatic fever, COPD, sleep apnoea, anaemia, and kidney problems, and their role in risk and diagnosis options.
Clarifying past heart diagnoses and treatmentsNoting high blood pressure length and managementHistory of rheumatic fever and valve effectsOngoing lung issues, COPD, and asthma detailsSleep apnoea, obesity breathing issues, and CPAPKidney problems, anaemia, and heart-kidney linksLesson 5System-specific symptom screens: cough, wheeze, chest pain, palpitations, oedema distribution, urinary symptomsDirects system-focused checks for lung, heart, and kidney symptoms, covering cough, wheeze, chest pain, heart flutters, oedema spread, urine shifts, and overall traits that sharpen diagnosis choices.
Lung check: cough, phlegm, and wheezeHeart check: chest pain and fluttersPeripheral oedema spread and patternNighttime urine, low output, and kidney congestionOverall symptoms: fever, weight drop, tirednessConnecting system clues to diagnosis optionsLesson 6Targeted symptom history: dyspnoea onset, progression, orthopnoea, paroxysmal nocturnal dyspnoea, exertional toleranceInstructs structured probing of breathlessness, orthopnoea, sudden night breathlessness, effort tolerance, cough, and linked symptoms, focusing on start, worsening, triggers, and daily life effects.
Start and worsening of breathlessness timelineOrthopnoea and sudden night breathlessnessEffort tolerance and activity limitsCough, phlegm, and wheeze descriptionChest tightness, pain, and fluttersEffects on sleep, work, and daily lifeLesson 7Family history and risk factors: premature cardiovascular disease, cardiomyopathies, thrombophiliaHandles gathering family history of early heart vessel disease, heart muscle issues, irregular beats, clotting disorders, and sudden death, and weaving in genetic and shared lifestyle risks for risk grouping.
Early blocked heart arteries in familyInherited heart muscle and rhythm issuesFamily history of vein clotsSudden unexplained death and irregular beatsShared lifestyle and environment factorsWhen to suggest genetic advice referralLesson 8Medication review and adherence: prescription, OTC, herbal, adherence barriers, recent changesExamines thorough medication history, covering scripts, over-the-counter and herbal remedies, recent shifts, sticking barriers, side effects, and clashes relevant to heart-lung disease and worsening.
Listing all script and over-the-counter medsSpotting heart-active and lung drugsRecent med shifts and worseningChecking sticking, beliefs, and habitsDetecting bad effects and drug clashesInhaler method and device problems
