Lesson 1Targeted review of systems to differentiate cardiac, pulmonary, GI, musculoskeletal causesYou go practice checking body systems sharp-sharp to tell heart from lung, stomach, or muscle problems, using key questions wey help narrow causes without holding up urgent help.
Cardiac ROS for ischemia and pericarditisPulmonary ROS for PE and pneumothoraxGastrointestinal ROS for reflux and ulcerMusculoskeletal and chest wall questionsPrior similar episodes and chronicityLesson 2Open-ended and presenting complaint questions (onset, character, radiation, severity, duration)This part shows how to start talk, use open questions, then clear up when pain start, how e be, where e go, how strong, and how long. We stress no bias, catch timelines, and mark pain correct.
Building rapport and opening the interviewUsing open-ended questions for chest painClarifying onset and temporal patternCharacter, location, and radiation of painSeverity scales and impact on functionLesson 3Associated symptoms (dyspnea, diaphoresis, nausea, syncope, palpitations)You go learn to ask steady about shortness of breath, sweating, nausea, fainting, and heart racing, and read mixes of symptoms wey point to heart attack, irregular beat, or other issues.
Characterizing dyspnea and orthopneaDiaphoresis and autonomic activationNausea, vomiting, and epigastric painSyncope, presyncope, and red flagsPalpitations and arrhythmia cluesLesson 4Social history and substance use (smoking quantity, alcohol, recreational drugs, occupational, recent travel)Here you go learn to check smoking, drink, party drugs, work, and recent travel. We focus on how these link to heart risk, lung clot, and other chest pain reasons.
Quantifying tobacco exposure in pack-yearsAlcohol intake and cardiomyopathy riskCocaine and stimulant-associated ischemiaOccupational and environmental exposuresTravel history and venous thromboembolismLesson 5Family history of premature cardiovascular disease or sudden deathHere you go learn which family history raise risk, how to ask about early heart disease and sudden death, and write ages, diagnoses, relations clear and with feeling.
Defining premature cardiovascular diseaseKey questions about sudden cardiac deathDocumenting affected relatives and agesHereditary lipid and cardiomyopathy cluesHandling sensitive family discussionsLesson 6Recent infections, trauma, or surgeries and thromboembolic risk factors (immobility, cancer, estrogen use)You go learn to connect recent sickness, injury, or operation to chest pain causes, and spot clot risks like no movement, cancer, hormone use wey make you suspect lung clot.
Recent respiratory or systemic infectionsChest trauma and musculoskeletal injuryPostoperative and immobilization risksCancer, estrogen, and thrombophilia historyWhen to suspect pulmonary embolismLesson 7Provoking/relieving factors and timing (exertion, position, meals, respiration)This part cover how work, position, food, breathing change chest pain. You go learn to tell heart squeeze, heart sac swelling, acid reflux, lung lining pain by checking triggers, relief, day-night pattern.
Exertional angina and demand ischemiaPositional clues to pericardial diseaseMeal-related and reflux-associated painRespiratory and pleuritic pain patternsNocturnal and rest pain red flagsLesson 8Past medical history and cardiovascular risk factors (hypertension, hyperlipidemia, diabetes, prior coronary disease)This part check how to get old sickness history and heart risks like high blood pressure, high fat, sugar sickness, past heart block, and how dem change chance and speed needed.
Documenting prior coronary eventsHypertension and end-organ damage historyHyperlipidemia and treatment adherenceDiabetes, kidney disease, and riskOther vascular and stroke historyLesson 9Medication, allergy, and anticoagulation history (current meds, aspirin/statin use, allergies)This part focus on getting exact drug list, including shop drugs, blood thinners, fat pills, clot stoppers, and spot allergies and bad reactions wey matter for sharp chest pain care.
Verifying current prescription medicationsOver-the-counter and herbal productsAntiplatelet, statin, and anticoagulant useClarifying true drug allergies vs side effectsImplications for acute chest pain therapyLesson 10How to document and phrase questions clearly and compassionately for exam reports and handoversThis part teach how to word questions clear, no big words, keep kindness. You go practice notes structure, sum key yes/no, write short exam reports and safe pass-overs.
Using patient-centered, nonjudgmental languageStructuring focused chest pain questionsSummarizing key positives and negativesWriting concise exam notes and reportsSafe, structured handover communication
