Lesson 1Systematic symptom inquiry: sleep, mood, cognition, weight, feversYou will master a step-by-step method for probing symptoms in tired patients, including sleep patterns, emotional state, thinking ability, eating habits, weight shifts, fevers, night sweats, and aches, to form a targeted list of possible causes and direct necessary tests.
Clarifying poor sleep quality and snoring issuesChecking for low spirits, loss of joy, and worryEvaluating focus, recall, and mental cloudinessInquiring about weight changes and hunger variationsAssessing fevers, chills, sweats, and muscle painsLesson 2How to ask about psychiatric symptoms: depression, anxiety, PTSDThis part teaches sensitive, trauma-aware ways to inquire about depression, anxiety, PTSD, and linked signs, employing proven screening methods, everyday language, and direct follow-up on dangers and daily disruptions.
Applying PHQ-2 and PHQ-9 in tiredness assessmentsChecking for widespread worry symptomsTrauma-sensitive queries on PTSD traitsEvaluating suicide thoughts and self-injury risksExploring sleep issues, guilt feelings, and focus shiftsLesson 3Framing questions to elicit sleep hygiene, shift work, and circadian issuesThis part concentrates on precise queries about sleep routines, hygiene practices, shift duties, and body clock disturbances, aiding you to separate lifestyle sleep problems from core sleep ailments and health-related tiredness causes.
Describing bedtime, rising time, and inconsistenciesCaffeine, alcohol, and calming drug use before bedChecking for shift duties and changing timetablesSpotting travel lag and body clock mismatchesBedroom setup and bedtime habitsLesson 4Medication, substance, and supplement review focused on fatigue causesThis part delves into thorough checks of prescribed medicines, shop-bought remedies, substances, and extras that might trigger or heighten tiredness, highlighting exact question phrasing and tips to encourage open patient sharing.
Spotting sleep-inducing and drying-effect drugsChecking for heart-slowing and pressure-lowering medsAsking about alcohol, dagga, and illegal substancesReviewing shop antihistamines and sleep helpersRecording herbal and food supplement usageLesson 5Functional impact and screening for red flags (work, ADLs, safety)Here, you will learn to gauge how tiredness affects jobs, learning, driving, and personal care, plus screen for danger signs like heart-lung problems, infections, cancers, and suicide risks needing quick checks or advanced care.
Assessing changes in work and school outputEvaluating daily tasks, complex chores, and care rolesScreening for heart-lung danger symptomsSpotting infections, cancers, and weight dropsAssessing safety dangers like trips and drivingLesson 6Principles of focused history-taking in primary careThis part outlines structuring a targeted tiredness history in basic health care, weighing completeness against time pressures, mixing open and yes-no questions, focusing on safety, and adjusting to patient age, other illnesses, and visit purpose.
Setting the agenda and clarifying patient worriesStarting history with open questionsTargeted body system review for tirednessBalancing detail with time limitsAdapting history for sudden vs long-term tirednessLesson 7Documentation templates and succinct handoff language for preceptorsHere, you will learn to record a short, issue-focused tiredness history with templates, vital words, and ordered assessments, plus give clear, organised spoken updates stressing danger signs and next diagnosis steps.
SOAP note setup for tiredness visitsClear wording of key positive findingsRecording key negatives and danger signsSumming up daily impact and safety concernsOrganising a straightforward spoken updateLesson 8Assessing menstrual, menopausal, and endocrine history in middle-aged patientsThis part instructs on gathering monthly cycle, change-of-life, thyroid, and other gland histories in mid-age patients with tiredness, covering cycle habits, hot flush signs, hormone treatments, and risks for gland issues.
Describing monthly cycle steadiness and flowScreening for change-of-life hot flushesHistory of hormone treatments and birth controlTargeted thyroid and adrenal symptom queriesAssessing sugar sickness and body balance risksLesson 9Targeted family and social history questions relevant to fatigueHere, you will learn to collect focused family and social backgrounds linked to tiredness, including inherited conditions, care burdens, work exposures, money worries, and living ways affecting sleep and vigour.
Family history of thyroid and self-attack diseasesInherited sleep, heart, and mood conditionsAssessing care roles and exhaustion risksWork demands and surroundings exposuresMoney, home, and food shortage screeningLesson 10Temporal features: onset, duration, pattern, triggersYou will learn to describe the time aspects of tiredness, covering start, length, daily rhythm, starters, and easing factors, to tell short-term from ongoing tiredness and spot hints of germ, gland, or mind causes.
Clarifying sudden, medium, or long-term startsDaily rhythm and changes in tirednessSpotting effort and thinking startersEasing factors and rest reactionsTime links to sickness, stress, or happenings
