26- fatigue Flashcards Preview

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Flashcards in 26- fatigue Deck (25)
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1
Q

fatigue vs sleepiness

A

fatigue - A feeling of exhaustion or tiredness that is pervasive, not relieved by rest, and often worsened by exertion.

sleepiness - A feeling of tiredness that gives a patient the tendency to fall asleep, and is often relieved by either rest or exertion.

2
Q

fatigue vs sleepiness

A

fatigue - A feeling of exhaustion or tiredness that is pervasive, not relieved by rest, and often worsened by exertion.

sleepiness - A feeling of tiredness that gives a patient the tendency to fall asleep, and is often relieved by either rest or exertion.

3
Q

Psychological causes of fatigue

A

Depression, anxiety, adjustment reaction, substance abuse.

4
Q

Secondary physical causes of fatigue

A

Side effects of medications, diabetes, hypo- or hyperthyroidism, anemia, acute infection, cardiovascular disease (e.g. congestive heart failure), lung disease (e.g. chronic obstructive pulmonary disease), chronic inflammatory conditions (e.g. rheumatoid arthritis), malignancy, pregnancy and electrolyte imbalances (e.g. hypercalcemia).

5
Q

Physiologic causes of fatigue

A

Acute decrease in sleep (e.g., due to parenting a sick child), alternating shift work, and inadequate or poor quality sleep.

The latter may be further broken down into primary sleep disorders (e.g., restless leg syndrome and obstructive sleep apnea), lifestyle issues (increased physical exertion), and medical causes (e.g., sleep interrupted by nocturia or pain).

6
Q

Primary fatigue causes

A

Chronic fatigue syndrome and fibromyalgia.

7
Q

chronic fatigue syndrome criteria

A

six months or greater of disabling fatigue that is not explained by any other medical cause plus four physical symptoms from the following list:

  • impaired memory or concentration,
  • post-exertional malaise,
  • tender lymphadenopathy,
  • sore throat, headaches, myalgias, and arthralgias.
8
Q

eval for fatigue for 55 yo M

A
CBC
serum glucose- DM
ESR
TSH
iron studies with ferritin
9
Q

In adult men and post-menopausal women, what is the most likely cause of iron deficiency.

A

gastrointestinal (GI) blood loss

10
Q

bright red blood in rectum differential

A

Colorectal carcinoma,
colon polyps, or
bleeding diverticuli

11
Q

Guaiac positive stool that is brown (if bleeding is chronic) or black (if bleeding is brisk) , you think…

A

Peptic ulcer disease and gastritis

12
Q

what can colonoscopies detect

A

Hemorrhoids, diverticuli, polyps, cancer

13
Q

colonoscopy complications

A

Infection or tears in the lining

Perforation happens in about four per 10,000 procedures in the United States

Major bleeding is estimated to occur in 12.3 per 10,000 procedures.

serious complications-deaths- 1 in 400 colonoscopies.

False-negative or false-positive test results.

14
Q

Psychological causes of fatigue

A

Depression, anxiety, adjustment reaction, substance abuse.

15
Q

Secondary physical causes of fatigue

A

Side effects of medications, diabetes, hypo- or hyperthyroidism, anemia, acute infection, cardiovascular disease (e.g. congestive heart failure), lung disease (e.g. chronic obstructive pulmonary disease), chronic inflammatory conditions (e.g. rheumatoid arthritis), malignancy, pregnancy and electrolyte imbalances (e.g. hypercalcemia).

16
Q

Physiologic causes of fatigue

A

Acute decrease in sleep (e.g., due to parenting a sick child), alternating shift work, and inadequate or poor quality sleep.

The latter may be further broken down into primary sleep disorders (e.g., restless leg syndrome and obstructive sleep apnea), lifestyle issues (increased physical exertion), and medical causes (e.g., sleep interrupted by nocturia or pain).

17
Q

Primary fatigue causes

A

Chronic fatigue syndrome and fibromyalgia.

18
Q

chronic fatigue syndrome criteria

A

six months or greater of disabling fatigue that is not explained by any other medical cause plus four physical symptoms from the following list:

  • impaired memory or concentration,
  • post-exertional malaise,
  • tender lymphadenopathy,
  • sore throat, headaches, myalgias, and arthralgias.
19
Q

eval for fatigue for 55 yo M

A
CBC
serum glucose- DM
ESR
TSH
iron studies with ferritin
20
Q

In adult men and post-menopausal women, what is the most likely cause of iron deficiency.

A

gastrointestinal (GI) blood loss

21
Q

bright red blood in rectum differential

A

Colorectal carcinoma,
colon polyps, or
bleeding diverticuli

22
Q

Guaiac positive stool that is brown (if bleeding is chronic) or black (if bleeding is brisk) , you think…

A

Peptic ulcer disease and gastritis

23
Q

what can colonoscopies detect

A

Hemorrhoids, diverticuli, polyps, cancer

24
Q

colonoscopy complications

A

Infection or tears in the lining

Perforation happens in about four per 10,000 procedures in the United States

Major bleeding is estimated to occur in 12.3 per 10,000 procedures.

serious complications-deaths- 1 in 400 colonoscopies.

False-negative or false-positive test results.

25
Q

options for colon cancer screening and their timeline

A

colonoscopy- 10 years
Flexible sigmoidoscopy- every 5 years
Fecal occult blood testing (FOBT)- every year
Fecal immunochemical testing (FIT)- every year
Fecal DNA testing- 1-3 years
CT colonography- 5 years
Flexible sigmoidoscopy combined with FIT testing- 10