FATIGUE AND SLEEPINESS Flashcards
fatigue/sleepiness key hx: timing
duration
fatigue/sleepiness key hx: assoc sxs
sleep hygiene snoring waking up choking/gasping witnessed aspnea overexertion stress depression emotional problems weight changes constitutional sxs changes in appetite sxs of thyroid dz
fatigue/sleepiness key hx: soc hx
lifestyle changes
shift changes at work
diet
fatigue/sleepiness key hx: med hx
hx of bleeding/anemia
fatigue/sleepiness key hx: meds
medications
fatigue/sleepiness key hx: soc hx
alcohol, caffeine, drug use
fatigue/sleepiness key PE
VS
ENT exam (conjunctival pallor, oropharynx/palate, lymphadenopathy, thyroid exam)
heart/lung
abdominal
neuro
extremity (pallor, coolness at distal extremities)
rectal exam and occult blood testing
depression ddx
adjustment d/o
hypothyroidism
anemia
depression w/u
phq-9
beck depression inventory
tsh
cbc
PTSD ddx
depression
GAD
psychotic or delusional d/o
hypothyroidism
PTSD w/u
phq-9 beck depression inventory cbc tsh ur tox
colon ca ddx
hypothyroidism
renal failure
hypercalcemia
depression
colon ca w/u
rectal exam with stool guaiac test cbc cmp tsh colonoscopy barium enema ct a/p
hypothyroidism ddx
depression
diabetes
anemia
hypothyroidism w/u
tsh, FT3, FT4
cbc
fasting glucose
HbA1c
