NIGHT SWEATS Flashcards
1
Q
night sweats key hx: timing
A
onset, duration, frequency, timing, patterns (escalating, waxing, waning)
2
Q
night sweats key hx: severity
A
requiring change of clothing or sheets
3
Q
night sweats key hx: triggers
A
precipitants (food, medication)
4
Q
night sweats key hx: assoc sxs
A
fever recent URI cough hemoptysis pleuritic chest pain lymphadenopathy rash malaise weight loss itching diarrhea n/v early satiety anorexia
5
Q
night sweats key hx: soc hx
A
travel IV drug use incarceration working in health care alcohol use sexual exposure sick contacts exposure to high-risk populations (prisoners/homeless)
6
Q
night sweats key hx: gyn hx
A
menstrual hx, menopausal status
7
Q
night sweats key PE
A
VS HEENT (insp of throat, LAD) heart/lung abd exam (hepatosplenomegaly) skin exam MSK exam for joint pain
8
Q
TB ddx
A
acute HIV infxn
lymphoma
leukemia
hyperthyroidism
9
Q
TB w/u
A
PPD/quantiferon-TB gold cbc cxr sputum gram stain, acid fast stain, and cx HIV ab/RNA levels TSH, FT4 CT chest
10
Q
hyperthyroidism ddx
A
pheochromocytoma
carcinoid syndrome
TB
11
Q
hyperthyroidism w/u
A
TSH, FT4 24-hr ur catecholamines 5-HIAA CBC PPD
