Fatigue And TAT Flashcards

1
Q

What are the differential diagnosis of fatigue and TAT?

A
Hypothyroidism 
Anaemia 
Chronic diseases- coeliac, CKD, Addisons, liver failure, renal disease, heart failure, diabetes, auto immune diseases 
Malignancy 
Depression 
Medications 
Chronic fatigue syndrome 
Sleep apnoea
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2
Q

What investigations would you do for someone with fatigue?

A
Urinalysis
FBC 
U and Es and creatinine 
Random/fasting blood glucose 
LFTS 
CRP 
TFTs 
IgA TTG 
PHQ-9
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3
Q

What are the red flag symptoms in someone whose tired all the time?

A
Significant weight loss 
Lymphadenopathy 
Other symptoms and signs of malignancy 
Focal neurological signs 
Symptoms of inflammatory arthritis, vasculitis, CT disease 
Sleep apnoea
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4
Q

What are some key questions you should ask about tiredness?

A
Duration 
Previous energy levels 
Noticed any other changes 
Recent start or change in meds 
Weight changes and appetite 
Polyuria or nocturia 
Menstruation 
Change in bowel habit 
ask about sleep
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