Lesson 1Family and genetic history: patterns of hair loss in first- and second-degree relatives and age of onsetDis section cover how to ask about family patterns of hair loss and scalp sickness. Learners go map inheritance, age wey e start, and how bad e be to help diagnose androgenetic alopecia and genetic problems common in our area.
Ask about hair loss in first-degree relativesExtend history to second-degree relativesClarify age of onset and progression in familyIdentify family history of scarring alopeciasExplore ethnic and racial pattern differencesDraw a simple family hair loss pedigreeLesson 2Styling and mechanical factors: heat tool use, drying practices, tight hairstyles, hair accessory use, and parting habitsDis section look at mechanical and styling ways wey dey cause damage to hair and scalp. Focus on pulling, heat, rubbing, and product buildup, with questions to measure how often and how dem do am in daily life.
Assess frequency of blow-drying and hot toolsClarify temperature and heat protection useAsk about tight styles, braids, and extensionsReview use of wigs, weaves, and hair systemsEvaluate combing, brushing, and detangling habitsIdentify helmet, headwear, and friction sourcesLesson 3Symptom-specific questioning: onset, pattern, duration of shedding, pruritus, pain, scalp symptoms, and seasonal variationDis section focus on targeted questions for hair and scalp complaints. Learners go refine start time, how long, pattern, related feelings, and triggers to separate common alopecia and scalp disease types wey dey happen here.
Clarify onset, tempo, and duration of symptomsCharacterize shedding pattern and daily amountLocalize hair loss distribution and symmetryAssess pruritus, pain, burning, and tendernessAsk about flaking, pustules, and crustingExplore seasonal or cyclical symptom changesLesson 4Psychosocial and stress assessment: recent life events, occupational stress, sleep, and mental health screening questionsDis section guide structured questions about stress, mood, and sleep. Learners go connect psychosocial pressures, worry, sadness, and bad sleep with telogen effluvium and bad hair habits wey common for busy people.
Explore recent major life events and lossesAssess occupational and caregiver stress loadScreen for anxiety, depression, and burnoutAsk about sleep duration and sleep qualityIdentify hair-focused body repetitive behaviorsDiscuss coping strategies and support systemsLesson 5Medication, supplement, and hormonal history: prescription drugs, OTCs, steroids, contraceptives, and recent changesDis section explain how to get exact list of medicines, supplements, and hormonal things. Stress on time of changes, dose, and known drug-induced alopecia or telogen effluvium triggers wey dey affect our people.
Compile full prescription medication listReview over-the-counter and herbal productsScreen for retinoids, anticoagulants, and chemoAssess contraceptives and hormone therapiesClarify recent dose or regimen modificationsCorrelate drug timeline with hair changesLesson 6Lifestyle, nutrition, and substance use: diet patterns, protein and micronutrient intake, caffeine, alcohol, smoking, and recent weight loss or dietingDis section explore lifestyle, food, and substance use factors wey affect hair. Learners go check nutritional enough, strict eating, weight change, and exposure to alcohol, tobacco, and caffeine in local habits.
Assess typical daily and weekly diet patternScreen for restrictive or fad dieting historyDocument recent weight loss and appetite changeEvaluate protein and micronutrient intakeAsk about alcohol, smoking, and vapingReview caffeine intake and energy drink useLesson 7Red flags and urgent symptoms: sudden hair loss, scarring signs, pustules, systemic symptoms, or rapid progression that require immediate referralDis section train clinicians to spot red flag symptoms wey need quick action. Stress on fast loss, scarring, boils, body sickness, and when to rush to dermatology or emergency for urgent help.
Identify sudden diffuse or patchy hair lossRecognize signs of scarring and atrophyScreen for painful, boggy, or purulent lesionsLink fever, weight loss, or night sweatsFlag rapid progression despite gentle careDefine criteria for urgent specialist referralLesson 8Structured medical history: systemic illnesses, recent infections, surgeries, autoimmune disease, thyroid disease, and chronic conditionsDis section teach how to structure short but full medical history. Focus on body illnesses, hormone and immune disease, infections, operations, and long sickness wey influence hair growth in our communities.
Screen for thyroid and other endocrine diseaseReview autoimmune and connective tissue diseaseAsk about recent infections and high feversDocument surgeries, anesthesia, and hospital staysAssess chronic liver, kidney, and gut disordersReview chronic pain, fatigue, and other symptomsLesson 9Reproductive and endocrine history: menstrual pattern, pregnancies, menopausal symptoms, libido changes, and signs of androgen excessDis section detail reproductive and hormone history for hair. Learners go connect menstrual ways, pregnancy, menopause, desire, and androgen excess signs with common hormonal alopecias wey affect women here.
Clarify menarche, cycle length, and regularityAsk about pregnancies, births, and miscarriagesReview postpartum hair shedding episodesScreen for hot flashes and menopausal timingAssess hirsutism, acne, and androgenic signsDiscuss libido changes and sexual functionLesson 10Haircare and chemical exposure history: frequency and type of coloring, bleaching, perming, relaxers, professional salon treatments, and at-home productsDis section detail how to check haircare routines and chemical exposures step by step. Learners go link coloring, relaxing, bleaching, and product use with breakage, weakness, scalp itch, and long damage patterns.
Document hair wash and conditioning frequencyAssess salon versus at-home chemical treatmentsClarify history of coloring, bleaching, and toningReview relaxers, perms, and keratin treatmentsIdentify use of harsh shampoos or cleansersRecord leave-in, oil, and styling product use
