lack of energy 56 year old man

Question 1

task

Answer 1

331

Question 2

d/d

Answer 2

HEMIFADO
-Haemachromatosis
-endocrine : dm, hypothyroid, addisions
malignancy
-infective endocarditis: fever, sob, dental procedure
-fibromyalgia, polymyalgia rheumatica: jt pians, muscle pain soreness
-anemia, atypical pneumonia, OSA
-depression

Question 3

hx

Answer 3

-hi sam could you explain a little about your tiredness, and when it started
-i have had aches pains in joints
-i have a suntan eventhogh in QLD
-weight loss, more about jt pain
-loss of libido
-addisons: postural, dizziness, low, diarrhoea nausea

Question 4

exam

Answer 4

-general: skin pigmentaton. piccle
-jts : swelling , movement
-CVS: irregular pulse, bp140/90
-Abdomen : enlarged liver
-genitalia : scrotum size

Question 5

office test

Answer 5

-urine : sugar
-ecg: AF
-rbs

Question 6

pigementation d/d

Answer 6

-hyperthyroidism, addsions, cushings
-crf,porphyria, cirrhosis
-drugs : amiadarone, phenothiazines, spralene

Question 7

ix

Answer 7

-fbc
-lft, rft
-tsh
-serum iron studies
-test for HFE gene