Topic Info - BotMed Application

TopicName

Fatigue

ClinicalTests

CBC with dif;
TSH;
Glucose in blood;
HbA1c
UA
Electrolytes, BUN/Cr;
BNP (CHF);
Monospot;

ImagingStudies

Nocturnal pulse oximetry;
Sleep study;
ECG;
Whole body CT;

PhysicalExams

Vital signs; ENT exam (conjunctival pallor, oropharynx/palate, lymphadenopathy, thyroid exam); heart, lung, abdominal, neurologic, and extremity (pallor, coolness at distal extremities) exams; consider rectal exam and occult blood testing.

Comment

Always check: 
CANCERS!
- Anemia (poor nutrition, vegan, heavy menses);
- Hypothyroid;
- DM;
Also: Cardio, Pulmonary, GI, GU, Infections, Endo!

Duration; sleep hygiene, snoring, waking up choking/gasping, witnessed apnea; overexertion; stress, depression, or other emotional problems; lifestyle changes, shift changes at work; diet, weight changes; other constitutional symptoms; symptoms of thyroid disease; history of bleeding or anemia; medications; alcohol, caffeine, and drug use.

WebLink

https://www.aafp.org/afp/2012/1015/p741.html