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GPA mini case > GPA - Fatigue, Night sweats, Insomnia, > Flashcards

GPA - Fatigue, Night sweats, Insomnia, Flashcards

1
Q

Key PE for fatigue

A 
Conjunctival pallor, lymphadenopathy, thyroid exam, oropharynx, 
Heart/ung
abdomina
neurological
extremity: pallory, coolness
occult blood
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2
Q 
DDX - Fatigue
40 yo r
Tired, hopeless, suicidal
lost job, marital problems
money problems
A

Depression
Hypothyroid
Anemia
adjustment disorder

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3
Q 
Workup - Fatigue
40 yo r
Tired, hopeless, suicidal
lost job, marital problems
money problems
A

CBC - anemia
TSH - Thyroid
HIV/STD - marital problems
PHQ-9

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4
Q 
DDX - Fatigue
Fatigue
insomnia
nightmares about past experience
avoiding similar situations
A 
PTSD
Depression
Hypothroidism
GAD
anemia
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5
Q 
Workup - Fatigue
Fatigue
insomnia
nightmares about past experience
avoiding similar situations
A

CBC
TSH
Calcium
Urine toxology : self medicating

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6
Q 
DDX - Fatigue
55yom
Fatigue
wt loss
constipaiton
Colon cancer hx
A 
Colon cancer
Hypothyroidism
Depression
Renal failure
Hypercalcemia- confusion, lethargy and fatigue
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7
Q 
Workup - Fatigue
55yom
Fatigue
wt loss
constipaiton
Colon cancer hx
A 
Rectal exam
Occult blood test
CBC
CMP: Calcium, BUN:CR, AST/ALT, 
TSH
COlonsocopy
Barium enema
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8
Q 
DDX - Fatigue
Fatigue
wt gain
Sleepiness
COld intolerance
constipation
dry skin
A

Hypothyroid:hashimotos thyroidits
Depression
Anemia
Diabetes

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9
Q 
Workup - Fatigue
Fatigue
wt gain
Sleepiness
COld intolerance
constipation
dry skin
A

Thyroid pannel: TSH, T3, T4
Anti TPO, Anti TG
CBC
HBA1C

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10
Q 
DDX - Fatigue
Obese F
Fatigue and daytime sleepiness
Snores
Naps multiple times daily
never refreshed
Htn
A 
Sleep Apnea
Hypothyrodism
Chronic fatigue syndrome
Narcolepsy
Depression
anemia
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11
Q 
WOrkup- Fatigue
Obese F
Fatigue and daytime sleepiness
Snores
Naps multiple times daily
never refreshed
Htn
A

Sleep study - polysomnography
CBC
TSH
ECG

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12
Q 
DDX - Fatigue
20yo M
Fatigue
thirst
increased appetite
Polyuria
A

DM- Type I
Depression
Diabetes insepidus
Primary Polydipsea

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13
Q 
Workup - Fatigue
20yo M
Fatigue
thirst
increased appetite
Polyuria
A

Glucose tolerance test, HbA1C
UA: specific gravity
CBC, Electrolytes
BUN/CR- renal failure

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14
Q

DDX - Fatigue
sleepy during day
recent change to night slift

A

sleep apnea
depression
anemia

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15
Q

DDX - Fatigue
sleepy during day
recent change to night slift

A

CBC - anemia, gI bleed? poor diet cop
Sleep study: polysomnography
PHQ-9

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16
Q 
DDX - Night sweats
30yo m
Night sweats
cough
swollen glands x 1 month
A 
Tuberculosis
Acute HIV
Lymphoma
Leukemia
Hyperthyroidism
17
Q 
Workup - Night sweats
30yo m
Night sweats
cough
swollen glands x 1 month
A 
Sputum culture: gram stain, acid fast
HIV-antibody testing
TSH, FT4
CXR
CBC
PPD
Interferon Gamma Release Assay
18
Q 
DDX - Insomnia
3 weexs
7hrs niglty, no snoreing
stress: new college, BF broblems
3-4 cups coffee daily
A

Stress induced insomnia
drug induced insomnia; caffeine
circadian rhythem disorder
depression i

19
Q 
WOrkup- Insomnia
3 weexs
7hrs niglty, no snoreing
stress: new college, BF broblems
3-4 cups coffee daily
A 
Polysommnography - sleep study
Mental status exam
PHQ9
CBC
TSH
20
Q

DDX - Insomnia
several months poor sleep
daytime fatigue
snores loudly

A 
Obstructive sleep apnea
Insomnia
daytime hypersonmnia
Hypothyroid
anemia
21
Q

workup - Insomnia
several months poor sleep
daytime fatigue
snores loudly

A

CBC
TSH
polysommnography
ECG

22
Q 
DDX - Insomnia
3 weeks, fatigue with trouble sleeping
easily falls asleep, wakes at 3 am
unintentinal wt loss.
inability enjoy life
A

Depression
Hyperthyroidism
insomnia

23
Q 
WOrkup - Insomnia
3 weeks, fatigue with trouble sleeping
easily falls asleep, wakes at 3 am
unintentinal wt loss.
inability enjoy life
A

Mental status exam
TSH
CBC
Polysomnography

GPA mini case (11 decks)

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