HYHO Fatigue Flashcards
What is the broad ddx of fatigue?
DEAD TIRED
Depression
Environment/lifestyle
Anxiety, Anemia
Diabetes/endocrine
Thyroid, tumors
Infection
Rheumatologic
Endocarditis/CV
Drugs
What qualifies as chronic insomnia?
waking up at least 3 nights per week for 3 months
due to irregular sleep cycle (ex. shift workers, travel)
What is secondary tx of insomnia?
pharm - limit use 2-4 times/wk
Benzodiazepines
Benzodiazepine receptor agonists
Tricyclic Antidepressants
Trazodone
Diphenhydramine
If left untreated, what are complications of OSA?
inc MVA
HTN
HF
impaired glucose tolerance
increased risk of CVA
How do you tx periodic limb movement disorder?
dopamine agonists (pramipexole or ropinirole)
OR
anti-epileptics (gabapentin, pregabalin or carbamazepine)
What must you not miss with fatigue complaint?
anemia
hypothyroid
DM
depression/anxiety
OSA
What is the five model approach to hypothyroid?
What is the anterior chapman pt of the thyroid? visceral somatics?
a. Second intercostal space
b. T1-4; CN X(Vagus)