Study Questions

a. History: Fatigue

Differential Diagnosis

    1. Respiratory Infections:

      • Pneumonia: Bacterial, viral, or fungal infections of the lungs.
      • Bronchitis: Inflammation of the bronchial tubes.
      • Influenza (Flu): A viral respiratory infection.
      • Tuberculosis (TB): A bacterial lung infection.

    2. Cardiovascular Conditions:

      • Congestive Heart Failure (CHF): The heart is unable to pump blood effectively, leading to fluid accumulation in the lungs.
      • Pericarditis: Inflammation of the lining around the heart.

    3. Pulmonary Conditions:

      • Chronic Obstructive Pulmonary Disease (COPD): A group of lung diseases, including chronic bronchitis and emphysema, that can cause both fever and dyspnea during exacerbations.
      • Asthma: An inflammatory condition of the airways.
      • Pulmonary Embolism: A blood clot in the lungs.

    1. Autoimmune Diseases:

      • Rheumatoid Arthritis: An autoimmune disorder that can affect the lungs.
      • Systemic Lupus Erythematosus (SLE): An autoimmune disease that can cause lung inflammation.

    2. Allergic Reactions:

      • Anaphylaxis: A severe allergic reaction that can lead to difficulty breathing and fever.

    1. Environmental and Occupational Exposures:

      • Inhalation of Irritants: Exposure to smoke, chemicals, or pollutants can cause respiratory symptoms and fever.

    2. Gastrointestinal Disorders:

      • Gastroesophageal Reflux Disease (GERD): Stomach acid reflux into the esophagus can cause respiratory symptoms and sometimes a low-grade fever.

    3. Neurological Conditions:

      • Guillain-Barré Syndrome: An autoimmune disorder affecting the nervous system, which can lead to muscle weakness and respiratory problems.

    4. Medications and Drug Reactions: Some medications can cause fever and respiratory symptoms as side effects.

    1. Cancers: Certain cancers, such as lung cancer or lymphomas, can manifest with these symptoms.

    2. Psychogenic Causes: Anxiety and panic disorders can sometimes lead to shortness of breath and physical symptoms.

    3. Metabolic Disorders: Conditions like diabetic ketoacidosis can lead to a combination of fever and respiratory distress.

     

Next Pivotal Assessment

 
  Findings
     
Further History or Physical Exam

Crackling, bubbling, and rumbling sounds on ausculatation