Common generalised historues - Tiredness Flashcards
1
Q
What would you want to ask in relation to tiredness as a symptom?
A
- Duration
- Onset
- Progression
- Timing
- What they mean by tiredness
- Sleep pattern
- How it affects them
- Associated symptoms
2
Q
What associated symptoms would you want to ask about in relation to a presentation of tiredness?
A
- Anaemia symptoms
- Depression symptoms
- Hypothyroid symptoms
- Diabetes symptoms
3
Q
What features might point towards anaemia as a cause of tiredness?
A
- SOB on exertion
- Weakness
- Palpitations
- Worsening angina
- Worsening claudication
4
Q
What features might suggest hypothyroidism as a cause of tiredness?
A
- Constipation
- Cold intolerance
- WEight gain
- Menorrhagia
5
Q
What features may point towards diabetes as a cause of tiredness?
A
- Polyuria
- Polydipsia
- WEight loss
- Visual disturbance
6
Q
What features point towards depression being the cause of a presentation of tiredness?
A
- Core symptoms - low mood, anhedonia
- Biological - lack of sleep, low energy
- Future - hopelessness, suicidal ideation
7
Q
What features may point towards sleep apnoea as a cause of tiredness?
A
- Loud snoring
- Night time breathing interrupted by gasping/apnoea/snoring
- Excessive daytime sleepiness
- Obesity
8
Q
What are common causes of tiredness?
A
- Anaemia
- Hypothyroidism
- Diabetes
- Sleep apnoea
- Poor sleep hygeine
- Depression
- Post-viral fatigue
- Organ failure
- Drugs
- Malignancy
- Chronic infection/inflammation
- Addison’s disease
