Night Sweats Flashcards
1
Q
What key history would you obtain from a patient that complained of night sweats?
A
Onset Duration Severity/Frequency Timing/Pattern Recent URI Associated cough, hemoptysis Pleuritic chest pain lymphadenopathy, fever, rash, malaise Weight loss, itching N/V/D Sick contact or exposure to high risk populations Menstrual history, perimenopause
2
Q
What key physical exams would you do for someone who complains of night sweats?
A
Vital signs HEENT exam (throat inspection for lymphadenopathy) Heart and lung exam Abdominal exam (hepatosplenomegaly) Skin exam Musculoskeletal exam for joint pain
3
Q
30 yo M presents with night sweats and swollen glands of one months duration. Differentials?
A
Tuberculosis Acute HIV infection Lymphoma Leukemia Hyperthyroidism
4
Q
30 yo M presents with night sweats and swollen glands of one months duration. Differentials: tuberculosis, acute HIV infection, lymphoma, leukemia, hyperthyroidism. Workup?
A
PPD HIV antibody and viral load CBC CXR Sputum gram stain, acid-fast stain and culture TSH, FT4
