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Fatigue

  • Common ddx

    • infection, anemia, thyroid dz, adrenal insufficiency
  • Serious ddx

    • malignancy
  • Labs

    • CBC, chem, creatinine
    • TSH
    • cortisol
    • a1c
    • BNP if suspect cardio
    • STD panel
    • CT if elderly and you suspect malignancy
  • Hemonc ddx

    • anemia, B12, folate, leukemia, lymphoma
  • Endo ddx

    • thyroid dz, diabetes, adrenal insufficiency
  • Cardio ddx

    • CHF
  • FEN ddx

    • uremia, electrolyte abnormality, dehydration
  • GI ddx

    • parasite, malnutrition
  • Renal ddx

    • renal failure
  • Infectious ddx

    • mono, hepatitis, viral prodrome, endocarditis, TB
  • Neuro ddx

    • concussion, MG
  • Autoimmune

    • MG, lupus
  • Tox ddx

    • lead, CO, pesticide, solvent abuse, EtOH, tobacco usage, drug side effect
  • Psych ddx

    • depression
  • HPI

    • onset
    • aggravates, alleviates
    • severity
    • all the time, intermittent, or at specific times
  • ROS

    • fever
    • weight loss
    • chest pain, dyspnea
    • cough, sputum, hemoptysis
    • abdominal pain, diarrhea, nausea, vomiting
    • heat, cold intolerance, polyuria, oliguria
    • paresthesia
    • pika
    • head trauma
    • depression
  • PMH

    • cancer
    • heart disease
    • past gyn hx (anemia risk)
  • FH

    • cancer
  • SH

    • diet, nutrition, EtOH, tobacco
    • exposure to pesticides, CO
  • Meds

    • new meds
  • Allergies

  • Px

    • vitals
    • mental status
    • skin: pallor, jaundice, rash
    • ENT: ptosis, thyroid
    • lymphadenopathy
    • cardio
    • pulm
    • abdominal: organomegaly

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.