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Year 3 Histories/Conditions > Fatigue - OSCE tutoring > Flashcards

Fatigue - OSCE tutoring Flashcards

1
Q

What is the difference between tiredness and fatigue?

A

Tiredness can be resolved with sleep and rest, fatigue can’t

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2
Q

Classifications of fatigue

A 
Recent fatigue (<1month)
Prolonged fatigue (>1month)
Chronic >6 months
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3
Q

List some endo differentials for fatigue

A 
Hypothyroidism
DM
Addison's 
Hypopituitarism
Phaeochromocytoma
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4
Q

List some haem differentials for fatigue

A

Anaemia
Bone marrow failure
Vit D deficiency

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5
Q

List some neuro differentials for fatigue

A

Stroke
Sleep disorders
MS
Parkinson’s

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6
Q

List some infective differentials for fatigue

A

HIV
EBV
TB
Influenza

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7
Q

List some psych differentials for fatigue

A

Depression
Bereavement
IBS

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8
Q

List some cardiac differentials for fatigue

A

HF
Heart block
MI
AF

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9
Q

List some resp differentials for fatigue

A

Obstructive sleep apnoea
Asthma
COPD

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10
Q

List some GI differentials for fatigue

A 
IBD
Cirrhosis
Hepatitis
Peptic ulcer disease 
Coeliac disease
PBC
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11
Q

List some renal differentials for fatigue

A

Renal failure (drop in BP)

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12
Q

List some physiological differentials for fatigue

A

Pregnancy

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13
Q

Key Q to ask

A

Clarify ​
Has this happened before? Is it different? ​
How has it affected their daily life? ​
Onset - acute vs gradual ​duration? Progression ​
Anything precipitating it? ​
How often? Specific time? Intermittent/ continuous? ​
Does sleep refresh you? ​

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14
Q

Associated symptoms for anaemia

A

Exertional SOB
Weakness
Worsening angina

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15
Q

Associated symptoms for hypothyroidism

A

Weight gain
Cold intolerance
Constipation
Menorrhagia

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16
Q

Associated symptoms for diabetes

A

Polyuria
Polydipsia
Weight loss

17
Q

Associated symptoms for renal failure

A

Nocturia
Polyuria
Pruritis
N and V

18
Q

Associated symptoms for malignancy

A 
FLAWS
Cough 
Haemoptysis 
PR bleeding 
Change in bowel habits

Year 3 Histories/Conditions (20 decks)

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