Lesson 1Social and Lifestyle History: Smoking, Drinking, Work, Home Life, Exercise, Salt in FoodThis lesson shows how to ask about key social and lifestyle factors like smoking, alcohol use, job hazards, home surroundings, eating habits, exercise, and salt intake, and how they affect heart and lung risks in Ugandan communities.
Smoking history, pack-years, and quitting stageAlcohol use, checks, and adviceJob, dust, and chemical risksHome setup, cooking fires, and damp areasBody movement, exercise, and limitsEating patterns, salt use, and body weightLesson 2Warning Signs and Urgent Symptoms: Fainting, Chest Pain, Coughing Blood, Sudden Breath Shortness, Low Blood PressureThis lesson covers spotting and asking about urgent symptoms like fainting, sudden chest pain, coughing blood, quick breath trouble, and low pressure, focusing on how it started, linked signs, and when to rush to hospital in local settings.
Describing sudden chest pain and startChecking fainting, near-fainting, and fallsAssessing blood in cough amount and causesSudden breath issues and possible lung clotsSpotting shock, low pressure, and poor flowLevels for quick action and hospital sendLesson 3Talking Skills and Record-Keeping: Open Questions, Specific Follow-Ups, Safety Advice, and Noting Times and AnswersThis lesson focuses on building trust, using open and specific questions, understanding patient worries, summing up, giving safety tips, and keeping clear records of symptoms, times, and replies for legal and care purposes in Uganda.
Organising the heart-lung talkUsing open questions for the full storySpecific questions for main symptomsChecking understanding and setting plans togetherSafety tips, warning advice, and next stepsClear, time-noted health recordsLesson 4Past Health Checks: High Blood Pressure, Heart Blockage, Valve Issues, Rheumatic Fever, Long-Term Lung Disease, Sleep Breathing Problems, Low Blood, Kidney DiseaseThis lesson guides targeted questions on heart and lung related past illnesses like high pressure, blocked heart vessels, valve problems, rheumatic fever, COPD, sleep apnea, low blood count, and kidney issues, and how they affect risks and possible diagnoses.
Clarifying past heart diagnoses and treatmentsNoting high pressure length and controlHistory of rheumatic fever and valve effectsLong lung issues, COPD, and asthma detailsSleep apnea, fat-related breathing, and machine useKidney issues, low blood, and heart-kidney linksLesson 5Body System Symptom Checks: Cough, Wheezing, Chest Pain, Heart Racing, Swelling Areas, Urine ChangesThis lesson helps with system-focused checks for lung, heart, and kidney symptoms like cough, wheeze, chest pain, heart flutters, swelling patterns, urine shifts, and general signs to narrow down possible causes.
Lung check: cough, phlegm, and wheezeHeart check: chest pain and racingSwelling pattern and areasNight urine, low output, and kidney block signsBody signs: fever, weight drop, tirednessLinking body findings to possible illnessesLesson 6Detailed Symptom History: Breath Shortness Start, Worsening, Lying Flat Breath, Night Breath Attacks, Effort LimitsThis lesson teaches organised asking about breath shortness, lying flat issues, night breath attacks, effort levels, cough, and linked symptoms, stressing start, worsening, triggers, and daily life effects in Ugandan patients.
Start and worsening of breath timelineLying flat breath and night attacksEffort limits and activity blocksCough, phlegm, and wheeze detailsChest tightness, pain, and heart racingEffects on sleep, work, and daily lifeLesson 7Family History and Risks: Early Heart Disease, Heart Muscle Issues, Blood Clot TendencyThis lesson covers asking about family early heart disease, heart muscle problems, irregular beats, clot risks, sudden death, and adding family genetic and shared life risks to patient risk levels.
Early blocked heart vessels in familyInherited heart muscle and beat issuesFamily clot in veins historySudden unexplained death and beat problemsShared life and surroundings factorsWhen to suggest family gene advice referralLesson 8Medicine Check and Following Treatment: Prescribed, Over-Counter, Herbal, Barriers to Taking, Recent ChangesThis lesson explores full medicine history, including prescribed, shop-bought and herbal remedies, recent shifts, reasons for not taking, side effects, and links to heart-lung worsening in local contexts.
Listing all prescribed and shop medicinesSpotting heart and lung affecting drugsRecent medicine shifts and worseningChecking taking habits, beliefs, and routinesFinding bad effects and medicine clashesInhaler use and device problems
