Fatigue Flashcards
Gravida - Para —-
Gravida = # of pregnancies Para = TPAL (term, premature, abortions, living children)
Fatigue - psychiatric causes:
depression, anxiety, somatization disorder, substance abuse
Fatigue - sleep disorder causes:
insomnia, obstructive sleep apnea, periodic leg movements, narcolepsy
Fatigue - endocrine causes:
thyroid disease, diabetes, hypoadrenalism
Fatigue - medication causes:
insomnia from antihypertensives + anticholanergics + CNS stimulants, drowsiness rom TCAs + opioids + benzos + NSAIDS + anticonvulsants + alcohol
Fatigue - Hematologic or oncologic causes:
anemia
Fatigue - Renal causes:
renal failure
Fatigue - Cardiovascular causes:
Chronic heart disease
Fatigue - Pulmonary causes:
chronic lung disease
Fatigue - neuromuscular causes:
somatic dysfunction, myositis (swelling of muscles), multiple sclerosis
Fatigue - Infectious causes:
chronic sinusitis, mono, TB
Fatigue - rheumatologic causes:
autoimmune diseases
Most common cause of fatigue in the pediatric population
infections
Viscerosomatic reflex: Oropharynx
T1-2
Viscerosomatic reflex: Thyroid
C4-6 and T2
Viscerosomatic reflex: Lung
T1-4 ipsilateral
Viscerosomatic reflex: Pancreas
T5-9 bilateral
Viscerosomatic reflex: Liver
T5-10 Right-side
Viscerosomatic reflex: Uterus
T9-L2 bilateral
Viscerosomatic reflex: Adrenals
T8-10 ipsilateral
Viscerosomatic reflex: Spleen
T7-9 Left
First step in obtaining the history on a fatigued patient involves?
defining their complaint
Majority of patients presenting with fatigue have no physical finding or laboratory abnormality confirming its etiology?
True
When considering a thyroid disorder, which of the following paraspinal regions should be evaluated during the osteopathic structural exam?
C4-C6 & T2
