Lesson 1Social and lifestyle history: smoking, alcohol, work, living conditions, exercise, salt eatingThis lesson covers how to get a focused social and lifestyle history, including smoking, alcohol, work, environmental risks, living conditions, diet, exercise, and salt intake, and how these affect heart and lung risks.
Smoking history, pack-years, and quitting stageAlcohol drinking, checking, and adviceWork, dust, and chemical risksHome setup, heating, and dampnessPhysical activity, exercise, and limitsEating patterns, salt intake, and weightLesson 2Warning signs and urgent symptoms: fainting, chest pain, coughing blood, sudden worsening, very low blood pressureThis lesson explains spotting and checking warning symptoms like fainting, sudden chest pain, coughing blood, sudden shortness of breath, and low blood pressure, stressing time course, linked features, and when to rush for emergency help.
Describing sudden chest pain and startChecking fainting, near-fainting, and fallingAssessing coughing blood amount and causesSudden shortness of breath and possible lung clotSpotting shock, low blood pressure, and poor blood flowLevels for rushing and emergency sendingLesson 3Talking skills and record-keeping: open questions, specific clarifying questions, safety advice and noting key times and answersThis lesson focuses on building trust, using open and specific questions, exploring patient worries, summing up, safety advice, and properly recording symptoms, times, and answers in a clear, legal medical note.
Structuring the heart and lung talkUsing open questions to get the storySpecific questions for main symptomsChecking understanding and setting shared plansSafety advice, warning signs, and follow-upAccurate, time-noted medical recordsLesson 4Past health history checks: high blood pressure, heart vessel disease, valve disease, rheumatic fever, COPD, sleep apnea, low blood, kidney diseaseThis lesson covers targeted questions about heart and lung related illnesses, including high blood pressure, heart vessel and valve disease, rheumatic fever, COPD, sleep apnea, low blood, and kidney disease, and how these shape risks and possible diagnoses.
Clarifying past heart diagnoses and treatmentsNoting high blood pressure length and controlHistory of rheumatic fever and valve effectsLong-term lung disease, COPD, and asthma detailsSleep apnea, fat-related breathing issues, and CPAP useKidney disease, low blood, and heart-kidney linksLesson 5Body-system symptom checks: cough, wheeze, chest pain, heart flutters, swelling pattern, urine symptomsThis lesson guides system-based checks for lung, heart, and kidney symptoms, including cough, wheeze, chest pain, heart flutters, swelling pattern, urine changes, and general features that narrow possible diagnoses.
Lung check: cough, phlegm, and wheezeHeart check: chest pain and fluttersSwelling pattern and spreadNight urine, low urine, and kidney backup signsGeneral symptoms: fever, weight loss, tirednessLinking body findings to possible diagnosesLesson 6Focused symptom history: shortness of breath start, worsening, lying-down breathing, sudden night breathing, effort toleranceThis lesson teaches structured checking of shortness of breath, lying-down breathing, sudden night breathing, effort tolerance, cough, and linked symptoms, focusing on start, worsening, triggers, and daily life impact.
Start and worsening of shortness of breath timelineLying-down breathing and sudden night breathingEffort tolerance and activity limitsCough, phlegm, and wheeze descriptionChest tightness, pain, and fluttersEffects on sleep, work, and daily lifeLesson 7Family history and risk factors: early heart vessel disease, heart muscle diseases, blood clotting risksThis lesson covers getting family history of early heart vessel disease, heart muscle diseases, irregular heartbeats, blood clotting risks, and sudden death, and combining family and shared lifestyle risks into risk levels.
Early heart vessel disease in familyInherited heart muscle and rhythm diseasesFamily history of vein blood clotsSudden unexplained death and irregular beatsShared lifestyle and environment factorsWhen to suggest family gene advice referralLesson 8Medicine check and following: prescribed, over-counter, herbal, following barriers, recent changesThis lesson explores systematic medicine history taking, including prescribed, over-counter and herbal drugs, recent changes, following barriers, side effects, and links relevant to heart and lung disease and worsening.
Listing all prescribed and over-counter medicinesSpotting heart-active and lung drugsRecent medicine changes and worseningChecking following, beliefs, and habitsFinding bad effects and drug linksInhaler use and device problems
