Constitutional Symptoms-E1

Terms in this set (21)

2) Pharmacologic
-Caused by medications
-Sedatives, antidepressants, antyhypertensives (beta blockers)

3) Sleep disturbance/lack of sleep
-Sleepapnea (consider in obese patients and patients who snore), restless leg syndrome, bruxism, esophageal reflux

4) Endocrine/metabolic
-hypothyrodism - weight gain, cold intolerance, constipation, alopecia, menstrual changes, decreased cognitive function, depression, enlarged thyroid, achilles reflex with delayed return
-hyperthyroid - weight loss with increase appetite, heat intolerance, tachycardia, palpitations, anxiety, sleep disturbance, tremors, diarrhea, exophthalmos, enlarged thyroid, increase in reflexes
-Adrenal insufficiency - addison's dz presents with weigh loss, diarrhea, hypotension and hyperpigmentation

5) neoplastic
has a lots of signs
-neoplasm, - unexplained weight loss, fever
-Leukemia - pallor, fever, easy bbruising, bleeding gums, epistaxis, petechia,infections
-Lymphoma: diffuse adenopathy

6) Hematologic
-Anemia: pallor, lightheadedness, dyspnea with exertion, palpatiations

7. Cardio-pulmonary
-Congestive Heart Failure: displena, tachycardiam edema, extra heart sounds
-Valvular disease
-COPD: dyspnea, wheezes

8. Infections (consider in adolescents and young adults
-Mononucleosis: cervical lymphadenopathy, pharyngitis
-Hepatitis: nausea, GI complains, jaundice
-HIV
-CMV

9 Collagen vascular dz
joint pain (arthralgia) arthritis, rashes

10 Fibromyalgia
-90% of FM pts are women presenting with pain and non-restorative sleep
-DX based on 18 tenderpoints and costellation of associated sx (insomnia, depression, endometriosis, headached, IBS, lupus, osteoarthritis, post-traumatic stress disorder, restless leg syndrome, RA)
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