Fatigue Work-up Flashcards
Psychological causes of Fatigue
Depression
Anxiety
Somatization d/o
Pharmacological causes of fatigue
Hypnotics
Antihypertensives
Antidepressants
Tranquilizers
Endocrine/metabolic causes of fatigue
Hypothyroidism DM Addison's Chronic renal failure Liver failure
Neoplastic/hematologic causes of fatigue
Malignancy,
Severe anemia
Infectious causes of fatigue
Endocarditis TB Mono Hepatitis Parasitic dz HIV infection CMV Tick-borne illness
Cardiopulmonary causes of fatigue
CHF
COPD
Sleep disturbances that could cause fatigue
Apnea
GERD
Allergic rhinitis
what are the most common causes of Fatigue
Depression
Anxiety
Thyroid d/o
what are important Hx questions you should as a pt presenting with fatigue?
- Describe the fatigue
- Associated sxs
- what medications that are taking that may be causing the fatigue
- recent GI surgeries (iron def. anemia)
- OLDCARTS
what PE exams may you perform on a pt with fatigue and what are you looking for?
Vitals: fever
Skin: jaundice, pallor, dryness, rash
Eyes: diabetic retinopathy, scleral icterus
Throat: goiter, petechia, exudates
Lymph nodes: note distribution
CV: murmurs, hemorrhagic petechiae
Pulm: consolidation, rales
Abdomen: organomegaly, masses, ascites
- Rectal exam: occult blood
Breast & prostate exam
Neuro/psych: full exam
what are important labs you may want to order to work up a pt with fatigue?
CBC (+iron study)
CMP
UA
TSH (+lipid panel)
What is the screening tool used for depression?
PHQ-9
SIGECAPS
