Fatigue Flashcards

1
Q

List five diagnosis for symptoms of fatigue, pain, sleep disturbance, and cognitive symptoms

A
  1. Fibromyalgia
  2. Myalgic encephalomyelitis Chronic Fatigue Syndrome
  3. Environmental sensitivities-Multiple chemical sensitivities
  4. DEPRESSION
  5. Somatization
  6. Hypothyroidism
  7. Neoplasm
  8. Infection
  9. Anemia
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2
Q

List three features of Myalgic, encephalomyelitis-Chronic Fatigue Syndrome

A
  1. > 6 months
  2. Impacting function (profound fatigue)
  3. Post exertional malaise
  4. unrefreshing sleep
  5. Cognitive i mpairment OR orthostatic intolerance
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3
Q

List three features of Fibromyalgia

A
  1. Diffuse body pain
  2. Present for at least 2 months
  3. No other explanation
  4. Fatigue
  5. Sleep disturbances
  6. Mood symptoms
  7. Cognitive symptoms
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4
Q

List three features of Environmental sensitivity multiple chemical sensitivity

A
  1. Triggered by chemicals
  2. Neucognitive symptoms
  3. Resp. symptoms
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5
Q

Important questions on history to ask in patient with fatigue (3)

A
  1. B symptoms
  2. Medications
  3. Mood
  4. Chest pain/dyspnea
  5. Effect on function
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6
Q

Improtant on physical exam for fatigue

A

Signs of inflammation to joints
Wt. loss
Lymphadenopathy
Fever
Focal neuro deficits

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7
Q

When should you investigate

A

If symptoms >3 months or 4 weeks after initial presentation

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8
Q

Investigations

A

CBC
Lytes
LFTs
TSH
HGC
CRP
CK
HIV/HepC
Celiac screen

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9
Q

DDX for fatigue (Try for 10)

A

CHF
COPD
OSA
Diabetes
Hypothyroidism
Malignancy
Celiac
Anemia
Iron deficiency
HIV
Mono
Hepatitis
RA
MS
Parkinsons
ALS
Lupus

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