A hairdresser complaining of worsening tiredness.
“It all started about 3 months ago when I was late to work after sleeping through my alarm clock, despite having had an early night. Since then I’ve been feeling tired most of the time, regardless of how much sleep I have. I’m struggling to make it through a full shift at work and I only work from 9am-3pm. Yesterday I fell asleep during my lunch break and the manager told me I need to get checked out by the doctor, so that’s why I’m here. Oh I’ve also not got much of an appetite.”
WHAT QUESTIONS MIGHT BE USEFUL TO ELICIT FURTHER DETAILS SURROUNDING THE PRESENTING COMPLAINT?
WHAT SYSTEMS WOULD YOU BE PARTICULARLY INTERESTED IN EXAMINING? EXAMINATION FINDINGS
WHAT IS YOUR DIFFERENTIAL DIAGNOSIS?