Tiredness and fatigue (will be CPC 35)

Question 1

What is the likely cause of tiredness and fatigue with fever and productive cough

Answer 1

Chronic infection such as TB pneumonia, possibly infective endocarditis

Question 2

What is the likely cause of tiredness and fatigue with associated chest pain

Answer 2

Cardiac.

Left ventricular dilatation, papillary muscle dysfunction, mitral regurg or aortic stenosis.

Question 3

What is the likely cause of tiredness and fatigue with associated dizziness/syncope

Answer 3

Left ventricular outflow obstruction: hypertrophic obstructive cardiomyopathy, aortic stenosis.

Question 4

What is the likely cause of tiredness and fatigue with palpitations?

Answer 4

Aortic or mitral regurgitation.

Question 5

What is the likely cause of tiredness and fatigue with recent history of dental work?

Answer 5

Infective endocarditis.

Question 6

Name some endocrine causes of tiredness and fatigue.

Answer 6

Thyroid disease, diabetes mellitus, pregnancy

Question 7

Name some cardiac/circulatory causes of tiredness and fatigue.

Answer 7

Valvular disease, anaemia, haemodialysis shunts, congenital heart disease.