Fatigue

Question 1

Name the TOP 2 differential diagnosis of CHRONIC fatigue

Answer 1

Depression (psychiatric)

Obstructive sleep apnea (sleep pattern disturbance)

Question 2

What does SIG E CAPS?

What is it used for?

Answer 2

Sleep, Interest, Guilt, Energy, Concentration, Appetite, Psychomotor, Suicide

Depression

Question 3

Recurrent multiple medical symptoms with no discernable cause

Answer 3

Somatization: psychiatric cause of chronic fatigue

Question 4

Which medications do NOT cause fatigue?
A. Clonidine (anti-HTN)
B. Beta agonists
C. Anti-neoplastics
D. Gabapentin (anti-convulsants)
E. Benzodiazepines

Answer 4

B. Beta blockers cause fatigue

Anti-neoplastics: leuprolide, interferon

Question 5

Describe the effects of ACUTE and CHRONIC use of corticosteroids, progesterones

Answer 5

Acute: INCREASED awareness/excitability/agitation
Chronic: Fatigue

Question 6

Fatigue + dyspnea + fluid overload =

Answer 6

Heart/liver/kidney failure

Question 7

Fatigue + dyspnea + abnormal CBC =

Answer 7

hematologic/autoimmune

Question 8

Fatigue + Daytime drowsiness + poor sleep habits =

Answer 8

Insomnia/periodic limb movements

Question 9

Fatigue + Daytime drowsiness + snoring/obese =

Answer 9

Obstructive sleep apnea

Question 10

Fatigue + depression + low TSH =

Answer 10

hypothyroidism

Question 11

Fatigue + depression + normal labs =

Answer 11

Major Depressive Disorder

Question 12

Acute fatigue most likely has a ___ cause.

Answer 12

medical

Question 13

Chronic fatigue most likely has a ___ cause.

Answer 13

sleep/psychiatric

Question 14

T/F: Acute use of hormones (corticosteroids, progesterone) will cause fatigue.

Answer 14

False. Chronic use causes fatigue. Acute use causes INCREASED awareness/excitability/agitation