Lesson 1History of present illness: chronological building, start, length, exertional pattern, triggers, progressionExplains how to build the history of current illness for exertional shortness of breath, stressing start, length, exertional pattern, triggers, progression, and past checks, to create a clear, time-linked sign story.
Defining start, speed, and first attackDescribing exertional limits and thresholdsFinding triggers and easing actionsRecording progression and step changesPast tests, treatments, and reactionsPutting together a time-based symptom lineLesson 2Family history questions focused on heart-lung, blood clot, and inherited lung sicknessExplains how to check family history related to exertional shortness of breath, focusing on heart muscle diseases, irregular heartbeats, blood clot sickness, and inherited lung problems, with wording that boosts reliability and shows hidden inherited risk patterns.
Heart family history and early sudden deathInherited irregular heartbeats and heart muscle diseasesFamily blood clot and clotting problemsInherited high lung blood pressure patternsGenetic lung sicknesses and early breathing failureBuilding family tree and warning sign groupsLesson 3Easing and worsening factors: posture, medicines, exertion, environmental exposuresDescribes how to check easing and worsening factors for exertional shortness of breath, including posture, medicines, exertion level, and environmental exposures, and how these patterns help tell apart heart, lung, and functional causes.
Posture changes and lying flat breathing trouble checkExercise strength and exertional limitsMedicine timing, relief, and side effectsEnvironmental and work exposuresTime patterns and day-night changesPutting patterns into body function hintsLesson 4Medicine, allergy, and vaccine questions with wording for correctnessExplains how to ask about medicines, allergies, and vaccines in patients with exertional shortness of breath, using exact wording to improve memory, spot interactions, and find preventable breathing or heart problems.
Current prescribed and over-counter drugsInhalers, oxygen, and sticking to treatment checkDrug and food allergies with reaction detailsVaccine history for flu and lung infectionCOVID and other key shotsFinding interactions and no-go situationsLesson 5Social history question guides: smoking (pack-years), job, environmental exposures, alcohol, fun drugs, physical activity levelGives guides for social history focused on exertional shortness of breath, covering smoking with pack-year count, job, environmental exposures, alcohol, fun drugs, and physical activity level, stressing risk grouping and shame-free wording.
Smoking history, pack-years, and stoppingJob dust, fumes, and irritant exposureHome and environmental breathing risksAlcohol drinking patterns and heart-lung riskFun drugs and how they are usedStarting physical activity and function levelLesson 6Structure and aims of patient history taking: identification, main complaint, informed consent wordingIntroduces the overall structure and aims of patient history taking in exertional shortness of breath, including patient identification, main complaint wording, and clear, right informed consent wording that builds trust and sets a focused, quick interview.
Patient identification and background detailsWording and noting the main complaintExplaining aim and range of the interviewInformed consent and privacy wordingSetting plan and time frame with patientBalancing open listening with targeted askingLesson 7Questions for linked symptoms: lying flat breathing trouble, sudden night shortness of breath, chest pain, cough, wheeze, coughing blood, fainting, heart fluttersFocuses on systematically getting key linked symptoms that come with exertional shortness of breath, like lying flat breathing trouble, sudden night shortness of breath, chest pain, cough, wheeze, coughing blood, fainting, and heart flutters, with wording that sharpens diagnosis meaning.
Lying flat breathing trouble and sudden night shortness of breathDescribing exertional and rest chest painCough, phlegm, and wheeze descriptionCoughing blood seriousness and warning featuresFainting, near-fainting, and exertional dizzinessHeart flutters, rhythm description, and triggersLesson 8Past health history checking: heart, lung, kidney, thyroid, blood, metabolic, and mental health conditionsCovers targeted past health history for shortness of breath, highlighting heart, lung, kidney, hormone, blood, metabolic, and mental health conditions, and how each changes pre-test chance, outlook, and treatment safety in exertional symptoms.
Heart diseases and past heart checksLong-term lung problems and past flare-upsKidney sickness, fluid status, and low blood linksThyroid problems and exercise dislikeBlood and metabolic causes of shortness of breathMental health links and symptom feelingLesson 9Targeted body systems review: standard wording for breathing, heart, whole body (fevers, weight loss), and mental symptoms to find differential hintsExplains how to do a targeted body systems review using standard, patient-friendly wording for breathing, heart, whole body, and mental symptoms, aiming to uncover missed hints, linked sicknesses, and alarm signs that sharpen the differential.
Breathing review for long and sudden symptomsHeart review for blood lack and heart failureWhole body review for fever, weight loss, night sweatsMental review for worry and panic featuresStandard wording to cut confusionPrioritising and noting positive findingsLesson 10Exact question guides for main complaint and opening promptsPresents exact opening prompts and main complaint questions made for exertional shortness of breath, balancing open and closed styles, cutting suggestion, and setting a team tone that encourages right, detailed symptom stories.
Neutral openers for first patient wordsClearing the main breathing worryExploring patient hopes and fearsAvoiding leading or judging questionsMoving from open to targeted askingChecking understanding with patient summaries
