Night sweats Flashcards
1
Q
Key history in night sweats
A
Onset Duration Severity Frequency Timing Patterns (escalating, waxing, waning) Precipitants Associated diseases or symptoms (fever, recent URI, cough, hemoptysis, pleurisy, lymphadenopathy, weight loss) IV drug use, travel to areas with endemic infections Social history (sex, drugs) Exposure to sick contacts, prisoners or homeless people Menstrual history and menopausal status
2
Q
Key physical exam in night sweats
A
Vital signs HEENT exam, including inspection of throat and other areas for lymphadenopathy Heart and lung exam Abdominal exam for hepatosplenomegaly Skin exam Musculoskeletal exam for joint pain
3
Q
30 yo M with night sweats, cough and swollen glands over last month
+ recent immigrant from Africa
A
Tuberculosis
Acute retroviral syndrome
Lymphoma
CBC, PPD or Quantiferon gold, CXR, HIV antibody testing, sputum Gram stain, acid-fast stain and culture
4
Q
45 yo F with excessive sweating, unintentional weight loss, palpitations, diarrhea and SOB
A
Hyperthyroidism
Pheochromocytoma
Carcinoid syndrome
TSH, FT4, CBC, 24-hour urine catecholamines, 5-HIAA
