HYHO Fatigue Flashcards

1
Q

What is the broad ddx of fatigue?

A

DEAD TIRED

Depression

Environment/lifestyle

Anxiety, Anemia

Diabetes/endocrine

Thyroid, tumors

Infection

Rheumatologic

Endocarditis/CV
Drugs

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2
Q

What qualifies as chronic insomnia?

A

waking up at least 3 nights per week for 3 months

due to irregular sleep cycle (ex. shift workers, travel)

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3
Q

What is secondary tx of insomnia?

A

pharm - limit use 2-4 times/wk

Benzodiazepines

Benzodiazepine receptor agonists

Tricyclic Antidepressants

Trazodone

Diphenhydramine

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4
Q

If left untreated, what are complications of OSA?

A

inc MVA

HTN

HF

impaired glucose tolerance

increased risk of CVA

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5
Q

How do you tx periodic limb movement disorder?

A

dopamine agonists (pramipexole or ropinirole)

OR

anti-epileptics (gabapentin, pregabalin or carbamazepine)

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6
Q

What must you not miss with fatigue complaint?

A

anemia

hypothyroid

DM

depression/anxiety

OSA

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7
Q

What is the five model approach to hypothyroid?

A
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8
Q

What is the anterior chapman pt of the thyroid? visceral somatics?

A

a. Second intercostal space
b. T1-4; CN X(Vagus)

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