tired all the time Hx

Question 1

what are the 5 important things to exclude

Answer 1

a. Malignancy
b. Depression
c. Diabetes
d. Hypothyroidism
e. Anaemia

Question 2

general things to rememeber

Answer 2

general screen for other symptoms

SOCRATES the fatigue

don’t forget PMH inc psych hx, DH, FHX, SHx, SR, appropriate closure with plan for the future. ICE. JACCOL MJTHREADS

Question 3

qs for malignancy

Answer 3

WL, night sweats, FH, appetite, pain, risk factors, system specific ones. lumps and bumps.

Question 4

qs for depression

Answer 4

1 - low mood
2 - decreased energy
3 - loss of interest in things they used to find enjoyable (anhedonia)
4 - feelings of guilt or worthlessness
5 - difficulty concentrating or thinking
6 - psychmotor retardation or agitation
7 - sleep disturbances - early morning waking or insomnia
8 - decreased appetite/weight or increased
9 - suicidal thoughts/ attempts or harm

life events and stress

Question 5

qs for diabetes

Answer 5

Thirst, WL, polydypsia, polyuria. vision changes, failing to notice cuts and bruises.

Question 6

qs for hypothyroidism

Answer 6

Change weight, Goitre, constipation, cold

Question 7

qs for anaemia

Answer 7

SOB, pale, diet, blood in stool/anywhere
diet
jaundice