Fatigue case in CS Exam - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
USMLE Articles
Go Back   USMLE Forums > USMLE Step 2 CS Forum

USMLE Step 2 CS Forum USMLE Step 2 CS Discussion Forum: Let's talk about anything related to USMLE Step 2 CS exam

Thread Tools Search this Thread Display Modes
Old 02-04-2010
USMLE Forums Master
Steps History: 1+CK+CS+3
Posts: 742
Threads: 137
Thanked 2,401 Times in 441 Posts
Reputation: 2504
Wink Fatigue case in CS Exam

Fatigue is one of the common presentations in USMLE Step 2 CS. Fatigue can be due to a very long list of differential diagnoses.

The most important ones that you should think on the exam are as follows:

Hypothyroidism: Ask about cold intolerance, weight gain, constipation, excessive sleep, concentration difficulty, and skin & hair changes.
Depression: Ask about mood disturbances and use SIGECAPS mnemonic
Anemia: Ask about dyspnea, palpitations, blood loss, pallor ...etc
Obstructive Sleep Apnea: Ask about snoring, day time sleepiness, and witnessed apnea
Infectious Mononucleosis: Ask about ill contacts, sore throat, fever, abdominal pain.
Malignancy: Ask about constitutional symptoms, weight loss, family history of cancer.
Diabetes: Ask about polyuria.
Chronic Fatigue Syndrome: Look for long lasting history and muscle aches.
Sleep Deprivation: Night shifts at work could be the reason.
Generalized Anxiety Disorder: Look for clues in the exam as the SP will be looking really worried.
Hypercalcemia: Ask about constipation and abdominal pain.
Adjustment Disorder: See if there's any precipitating traumatic event.
Reply With Quote Quick reply to this message
The above post was thanked by:
ahmad_shata (03-13-2010), ddaydreamer (09-08-2013), drHubaishi (03-09-2015), Goblin (02-02-2013), jeniaz (04-16-2015), Master shifu (06-09-2013), Novobiocin (06-08-2013), stepdoc1 (01-17-2013), zeus (02-05-2010)



Quick Reply

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Please enter a password for your user account. Note that passwords are case-sensitive.
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Where you live. Leave blank if you don't want to tell.


Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.

Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Similar Threads
Thread Thread Starter Forum Replies Last Post
25 Year Old with fatigue Sarah-cali USMLE Step 1 Forum 6 07-11-2013 03:44 PM
NBME Score and fatigue vhinrich2 USMLE Step 1 Forum 2 04-09-2012 07:15 PM
Muscle Fatigue and a Chest X Ray! ricko335 USMLE Step 1 Forum 15 09-11-2011 04:41 AM
5 year old boy with fatigue aksyonez USMLE Step 2 CK Forum 7 07-23-2011 12:19 PM
Adolescent with fatigue StepTaker USMLE Step 1 Classic Clues 1 07-31-2010 11:36 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2016 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)