Lesson 1Reasons for each question group: connecting history parts to common causes of shortness of breath and urgent danger signsExplains how each question group relates to body processes and common causes of shortness of breath, cough, and chest pain, and how response patterns show urgent danger signs, guide tests, and form early care plans in busy primary care.
Connecting symptom patterns to main illnessesSeparating heart from lung causesUsing risk factors to narrow chances before testsReading danger signs for time-urgent sicknessHistory hints for starting testsHistory-led early care choicesLesson 2Danger sign checking: chest pain, fainting, coughing blood, severe shortness of breath, sudden worsening, fever patternTeaches spotting danger symptoms like sharp or effort-related chest pain, fainting, coughing blood, quickly worsening shortness of breath, infection signs, and high-risk fever patterns that need quick action and possible emergency send-off in South Sudan settings.
Describing chest pain and sharp featuresFainting, near-fainting, and blood flow problemsChecking coughed blood amount and clotting dangerSigns of severe or fast-worsening shortness of breathFever pattern, chills, and infection signsAction levels and emergency send-offLesson 3Other illnesses and medicine check: high blood pressure, heart disease, blood thinners, ACE inhibitors, inhalers, recent antibiotics or steroidsCovers full check of other illnesses and medicines, including heart disease, sugar sickness, blood thinners, ACE inhibitors, inhalers, and recent antibiotics or steroids, to find clashes, side effects, and safety issues in local care.
Main heart-sugar and kidney other illnessesACE inhibitors, beta-blockers, and coughBlood thinners, anti-clotters, and bleeding dangerInhaler kinds, use, and sticking to themRecent antibiotics, steroids, and resistanceMany medicines, clashes, and stopping someLesson 4Ways for focused asking in short-time meetings and writing answers shortly for hand-over to supervising doctorGives plans for focused, patient-first asking in short-time meetings, using open and closed questions, signposting, and summing up, then writing short, ordered notes for safe hand-over to supervising doctors in primary care.
Using open and closed questions wellPutting key breathing history areas firstHandling side talks and keeping good relationsSumming up and checking patient understandingSBAR and problem-focused note setupWriting danger signs and safety adviceLesson 5Social and surroundings history: smoking history counting (pack-years), work exposures, recent travel, home contactsFocuses on getting smoking exposure in pack-years, e-cigarette and cannabis use, work and surroundings inhalants, animals, mould, and recent travel or infection contacts that change breathing risk and guide illness choices in South Sudan.
Counting smoking history and pack-yearsWriting e-cigarette, cannabis, and second-hand smokeWork dust, smoke, and chemical exposuresHome factors: animals, mould, heating, air flowRecent travel, TB danger, and local infectionsClose contacts with breathing or fever sicknessLesson 6Daily function and starting status: starting exercise ability, daily tasks, recent weight change, past breathing testsDeals with checking starting exercise ability, daily tasks, sleep, recent weight or hunger change, and past breathing tests or pictures, to measure long sickness load, function reserve, and reply to past breathing treatments.
Starting exercise ability and activity levelEffect on daily tasks, work, and social joiningSleep quality, night symptoms, and bed shortnessUnplanned weight loss and hunger changePast breathing tests, peak flow, and picturesTracking worsening and reply to treatmentLesson 7Family history and allergy history: allergy tendency, early heart disease, blood clot tendencyLooks at family patterns of wheezy breath, skin rash, nose allergy, long lung sickness, and early heart disease, plus family blood clotting and clot history, to sharpen risk of wheezy breath, lung clot, and other heart-lung causes of breath trouble.
Family history of wheezy breath, long lung sickness, and allergy tendencySkin rash, nose allergy, and food allergiesEarly heart disease in familyFamily blood clots or clotting tendencyDrug, rubber, and dye allergiesSurroundings allergy patterns and seasonsLesson 8Full check of main symptoms: start, length, worsening, type of cough, spit, triggers, position factors, effort limitsCovers ordered asking about breathing symptoms, including start, length, worsening, cough and spit features, triggers, position change, and effort limits, to separate short from long and harmless from serious sickness.
Making clear start, length, and symptom orderDescribing cough type, time, and linked painChecking spit amount, color, and blood coughFinding triggers, irritants, and easing factorsChecking bed shortness, night shortness, and position changeGrading effort shortness and activity limits
