12/25/2008

Mnemonic for fatigue and ED

There are a lottt of mnemonic for making differential diagnosis for common symptom.
However, postgrad MD may not feel nessesary.

I choose only that seem frequent missed for me.

BATHE-SAD DATA for " fatigue or any strange presentation"

B: Backgroud :“What is going on in your life?”
A: Affect to life: “ How do you feel about it ?”
T: Troble : “What troubles you the most about this?”
H: Handling “How are you handling that?”
E : Empathy: “That must be very difficult for you.”

S: Sleepless/sleep apnea

A: Abdomen ( Pain?, Anorexia/Wt loss, Bowel hapit change)
D: Depression / Domestic violence

D: DM/DI (-> Blood glucose, UA, Electrolyte)
A: Anemia ( -> CBC, stool for occult blood,iron level, B12 level)
T: Thyroid ( -> TSH )
A: Autoimmune eg. Myasthenia gravis, Firbromyalgia ( ESR high- if low -> chronic fatigue syndrome)

STOP PENIS for Impotence
SSRI
Thioridazien
AlcOhOl
Propanolol

Psychogenic ( intact nocturnal or early morning erection)
Endocrine ( Testosterone def ; pituitary VS male menopause)
Neuropathic (DM)
Ischemic (Leriech syndrom-claudication)
Scar ( need genital exam..may be Prostate surgery,injury,idiopathic)

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