Tiredness Flashcards

1
Q

Cardiovascular Causes

A
  • HF

- infective endocarditis

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2
Q

Resp Causes

A
  • Lung Ca
  • TB
  • Sleep Apnoea
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3
Q

Gastro Causes

A
  • Bowel Ca
  • Coeliac Diseas
  • Viral Hepatitis
  • Chronic liver failure
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4
Q

Neuro Causes

A
  • Myasthenia Gravis

- MND

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5
Q

Endocrine Causes

A
  • Hypothyroid
  • Addisons
  • Diabetes
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6
Q

Renal/Urinary Causes

A
  • CKD
  • Prostate Ca
  • Bladder Ca
  • Chronic UTI
  • Nephrotic syndrome
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7
Q

MSK Causes

A
  • Rheumatoid Arthritis

- SLE

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8
Q

GUM Causes

A
  • HIV

- STI

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9
Q

Haematology Causes

A
  • Anaemia

- Blood Cancer

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10
Q

Gynae Causes

A
  • Menorrhagia
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11
Q

Psychiatric Causes

A
  • Depression
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12
Q

Other?

A
  • Glandular fever
  • Chronic fatigue
  • Poor sleep
  • Drug use (illicit/benzos)
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13
Q

Bedside Investigations?

A

Urine dip

  • Blood: Ca, glomerular nephritis
  • Protein: CKD, nephrotic syndrome
  • Nitrites: UTI (chronic in elderly)
  • Glucose: diabetes
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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)
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15
Q

Imaging?

A

CXR - cancer, CCF, TB

ECHO - if CCF

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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