Fatigue Flashcards

1
Q

What is a sleep cause of fatigue?

A

Obstructive sleep apnea

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2
Q

What are some an endocrine causes of fatigue?

A
Hypothyroidism 
Adrenal insufficiency 
Hypercalcemia 
Hyper and hypo glycemia 
DM
Cushings
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3
Q

Which infections are known to cause fatigue?

A

HIV, TB, Hepatitis, endocarditis, EBV (rarely)

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4
Q

What is a cardio/pulmonary cause?

A

Congestive heart failure

COPD

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5
Q

What is breakaway weakness?

A

On confrontational testing, full power can be generated only for a brief period before the patient suddenly gives way to the examiner

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6
Q

What is fatiguability weakness?

A

Weakness with repeated evaluation

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7
Q

What does fatigable weakness indicate?

A

A problem of neuromuscular transmission

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8
Q

What causes fatigue in polycythemia Vera?

A

Hyperviscosity and cytokines

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9
Q

What causes fatigue in myelofibrosis?

A

Cytokines release and splenomegaly

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10
Q

What does performance status measure?

A

The extent of the patients disability

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11
Q

What does a performance status grade of 0 indicate?

Grade of 5?

A

Fully active, able to carry on all performances without restriction

5 = death

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12
Q

How to treat fatigue?

A

Treat underlying illness

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13
Q

What test do you order if you suspect anemia?

A

Reticulocyte count

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14
Q

What are the lab features of iron deficiency anemia?

A

Decreased serum iron and ferritin

Increased TIBC

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15
Q

What is the mcc of hemolytic anemia in the world?

A

Malaria

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16
Q

What is pacophagia?

A

A craving for ice chips

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17
Q

How do you treat immune mediated hemolytic anemia?

A

Steroids

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17
Q

Symptoms of facial rubor, headache, dizziness, blurred vision, heaviness in arms or legs, pruritus with hot shower or bath indicate?

A

Polycythemia Vera

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17
Q

Polycythemia is associated with what congestive disorder?

A

Budd chiari syndrome

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17
Q

What mutation causes polycythemia Vera?

A

Jak2K

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17
Q

What is the treatment of PCV?

A

Phlebotomy

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22
Q

How do you treat immune mediated hemolytic anemia?

A

Steroids

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23
Q

Symptoms of facial rubor, headache, dizziness, blurred vision, heaviness in arms or legs, pruritus with hot shower or bath indicate?

A

Polycythemia Vera

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24
Q

Polycythemia is associated with what congestive disorder?

A

Budd chiari syndrome

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25
What mutation causes polycythemia Vera?
Jak2K
26
What is the treatment of PCV?
Phlebotomy
27
How do you treat immune mediated hemolytic anemia?
Steroids
28
Symptoms of facial rubor, headache, dizziness, blurred vision, heaviness in arms or legs, pruritus with hot shower or bath indicate?
Polycythemia Vera
29
Polycythemia is associated with what congestive disorder?
Budd chiari syndrome
30
What mutation causes polycythemia Vera?
Jak2K
31
What is the treatment of PCV?
Phlebotomy
32
How do you treat immune mediated hemolytic anemia?
Steroids
33
Symptoms of facial rubor, headache, dizziness, blurred vision, heaviness in arms or legs, pruritus with hot shower or bath indicate?
Polycythemia Vera
34
Polycythemia is associated with what congestive disorder?
Budd chiari syndrome
35
What mutation causes polycythemia Vera?
Jak2K
36
What is the treatment of PCV?
Phlebotomy
37
How do you treat immune mediated hemolytic anemia?
Steroids
38
Symptoms of facial rubor, headache, dizziness, blurred vision, heaviness in arms or legs, pruritus with hot shower or bath indicate?
Polycythemia Vera
39
Polycythemia is associated with what congestive disorder?
Budd chiari syndrome
40
What mutation causes polycythemia Vera?
Jak2K
41
What is the treatment of PCV?
Phlebotomy
42
How do you treat immune mediated hemolytic anemia?
Steroids
43
Symptoms of facial rubor, headache, dizziness, blurred vision, heaviness in arms or legs, pruritus with hot shower or bath indicate?
Polycythemia Vera
44
Polycythemia is associated with what congestive disorder?
Budd chiari syndrome
45
What mutation causes polycythemia Vera?
Jak2K
46
What is the treatment of PCV?
Phlebotomy
47
How do you treat immune mediated hemolytic anemia?
Steroids
48
Symptoms of facial rubor, headache, dizziness, blurred vision, heaviness in arms or legs, pruritus with hot shower or bath indicate?
Polycythemia Vera
49
Polycythemia is associated with what congestive disorder?
Budd chiari syndrome
50
What mutation causes polycythemia Vera?
Jak2K
51
What is the treatment of PCV?
Phlebotomy
52
How do you treat immune mediated hemolytic anemia?
Steroids
53
Symptoms of facial rubor, headache, dizziness, blurred vision, heaviness in arms or legs, pruritus with hot shower or bath indicate?
Polycythemia Vera
54
Polycythemia is associated with what congestive disorder?
Budd chiari syndrome
55
What mutation causes polycythemia Vera?
Jak2K
56
What is the treatment of PCV?
Phlebotomy
57
How do you treat immune mediated hemolytic anemia?
Steroids
58
Symptoms of facial rubor, headache, dizziness, blurred vision, heaviness in arms or legs, pruritus with hot shower or bath indicate?
Polycythemia Vera
59
Polycythemia is associated with what congestive disorder?
Budd chiari syndrome
60
What mutation causes polycythemia Vera?
Jak2K
61
What is the treatment of PCV?
Phlebotomy
62
How do you treat immune mediated hemolytic anemia?
Steroids
63
Symptoms of facial rubor, headache, dizziness, blurred vision, heaviness in arms or legs, pruritus with hot shower or bath indicate?
Polycythemia Vera
64
Polycythemia is associated with what congestive disorder?
Budd chiari syndrome
65
What mutation causes polycythemia Vera?
Jak2K
66
What is the treatment of PCV?
Phlebotomy
67
How do you treat immune mediated hemolytic anemia?
Steroids
68
Symptoms of facial rubor, headache, dizziness, blurred vision, heaviness in arms or legs, pruritus with hot shower or bath indicate?
Polycythemia Vera
69
Polycythemia is associated with what congestive disorder?
Budd chiari syndrome
70
What mutation causes polycythemia Vera?
Jak2K
71
What is the treatment of PCV?
Phlebotomy
72
How do you treat immune mediated hemolytic anemia?
Steroids
73
Symptoms of facial rubor, headache, dizziness, blurred vision, heaviness in arms or legs, pruritus with hot shower or bath indicate?
Polycythemia Vera
74
Polycythemia is associated with what congestive disorder?
Budd chiari syndrome
75
What mutation causes polycythemia Vera?
Jak2K
76
What is the treatment of PCV?
Phlebotomy
77
How do you treat immune mediated hemolytic anemia?
Steroids
78
Symptoms of facial rubor, headache, dizziness, blurred vision, heaviness in arms or legs, pruritus with hot shower or bath indicate?
Polycythemia Vera
79
Polycythemia is associated with what congestive disorder?
Budd chiari syndrome
80
What mutation causes polycythemia Vera?
Jak2K
81
What is the treatment of PCV?
Phlebotomy