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ACR 2: Fatigue > Fatigue Work-up > Flashcards

Flashcards in Fatigue Work-up Deck (12)
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1

Psychological causes of Fatigue

Depression
Anxiety
Somatization d/o

2

Pharmacological causes of fatigue

Hypnotics
Antihypertensives
Antidepressants
Tranquilizers

3

Endocrine/metabolic causes of fatigue

Hypothyroidism
DM
Addison's
Chronic renal failure
Liver failure

4

Neoplastic/hematologic causes of fatigue

Malignancy,
Severe anemia

5

Infectious causes of fatigue

Endocarditis
TB
Mono
Hepatitis
Parasitic dz
HIV infection
CMV
Tick-borne illness

6

Cardiopulmonary causes of fatigue

CHF
COPD

7

Sleep disturbances that could cause fatigue

Apnea
GERD
Allergic rhinitis

8

what are the most common causes of Fatigue

Depression
Anxiety
Thyroid d/o

9

what are important Hx questions you should as a pt presenting with fatigue?

- Describe the fatigue
- Associated sxs
- what medications that are taking that may be causing the fatigue
- recent GI surgeries (iron def. anemia)
- OLDCARTS

10

what PE exams may you perform on a pt with fatigue and what are you looking for?

Vitals: fever

Skin: jaundice, pallor, dryness, rash

Eyes: diabetic retinopathy, scleral icterus

Throat: goiter, petechia, exudates

Lymph nodes: note distribution

CV: murmurs, hemorrhagic petechiae

Pulm: consolidation, rales

Abdomen: organomegaly, masses, ascites
- Rectal exam: occult blood

Breast & prostate exam

Neuro/psych: full exam

11

what are important labs you may want to order to work up a pt with fatigue?

CBC (+iron study)
CMP
UA
TSH (+lipid panel)

12

What is the screening tool used for depression?

PHQ-9
(SIGECAPS)