Tiredness Flashcards
1
Q
Cardiovascular Causes
A
- HF
- infective endocarditis
2
Q
Resp Causes
A
- Lung Ca
- TB
- Sleep Apnoea
3
Q
Gastro Causes
A
- Bowel Ca
- Coeliac Diseas
- Viral Hepatitis
- Chronic liver failure
4
Q
Neuro Causes
A
- Myasthenia Gravis
- MND
5
Q
Endocrine Causes
A
- Hypothyroid
- Addisons
- Diabetes
6
Q
Renal/Urinary Causes
A
- CKD
- Prostate Ca
- Bladder Ca
- Chronic UTI
- Nephrotic syndrome
7
Q
MSK Causes
A
- Rheumatoid Arthritis
- SLE
8
Q
GUM Causes
A
- HIV
- STI
9
Q
Haematology Causes
A
- Anaemia
- Blood Cancer
10
Q
Gynae Causes
A
- Menorrhagia
11
Q
Psychiatric Causes
A
- Depression
12
Q
Other?
A
- Glandular fever
- Chronic fatigue
- Poor sleep
- Drug use (illicit/benzos)
13
Q
Bedside Investigations?
A
Urine dip
- Blood: Ca, glomerular nephritis
- Protein: CKD, nephrotic syndrome
- Nitrites: UTI (chronic in elderly)
- Glucose: diabetes
14
Q
Bloods?
A
- FBC (low Hb, high EWCC)
- ESR (raised in PMR, inflammation)
- U&Es (low Na, high K+ in addisons)
- LFTs, bone profile, haematinics, TFTs,
- HbA1c
Autoantibody screening
- RF, anti CCP
- ds-DNA (lupus)
- TTG (coeliac)
15
Q
Imaging?
A
CXR - cancer, CCF, TB
ECHO - if CCF
16
Q
Special Tests?
A
Gastrocopy/colonoscopy
- Anemia, bowel malignancy
17
Q
RED FLAGS!
A
- Weight loss, nightsweats
- Bleeding (melaena, PR, haematuria)
- Change of Bowel Habit
- Jaundice
- SOB (increasing or new)
18
Q
Systems Review
- To include
A
- Rashes or skin changes
- Eye symptoms
- Bowel habits
- Urinary: polyuria, frequency
19
Q
Family History
- To include
A
- Autoimmune disease
- CVD
- Cancer
20
Q
Social History
- To include
A
- Travel/vaccinations
- HIV risk
- Occupation
- Smoking/alcohol/drugs
