Tiredness

Name: Jeremiah Clarke

Age: 47 Years Old

Date of Birth: 21st July 1977

Location: General Practice

Occupation: Manager

“I have been feeling quite out of sorts recently. I feel as if I am constantly drained of my energy. This is just so unusual for me.”

• Onset: 3 weeks ago

• Progression: Has been getting progressively worse over time

• Exacerbating Factors: Nothing comes to mind

• Relieving Factors: Nothing. I feel tired as soon as I wake up in the morning too.

• Associated symptoms: I feel a lot more short of breath lately especially after exerting myself. I have also noticed I am becoming paler.

• Timing: Constantly there

• Precipitating Factors : Cannot seem to think of anything that may have triggered this fatigue.

• Recent illness: Covid-19 infection two months ago

• Recent trauma: None

• Recent travel: None

• Previous episodes: Never had anything like that before

• Ideas: “I have no idea what’s going on”

• Expectations: “I just want some tests done to get to the bottom of this”

• Concerns: “This is not cancer or anything sinister, is it?”

• Bowel habits: Normal. No blood or dark coloured stools.

• Urinary habits: Normal. No blood in urine.

• Appetite: Has been getting worse over the past two weeks.

• Sleep: I usually sleep 8 hours. However, I still feel tired upon waking up. This is unusual.

• Weight: I don’t think anything has changed

• Pain in the chest/abdomen: None

• Headaches: Occasionally. Typically goes away after some rest. Usually just mild dull aches.

• Fever: None

• Cardiology: Normal

• Ophthalmology: Normal

• Neurology: Normal

• Dermatology: I have noticed my skin has been becoming more dry lately
  

Previous hospital admissions: None

Previous surgeries: None

Medical conditions:

• I am usually fit and well

Medications: None

Over the counters:

• Paracetamol (for headaches)

Allergies:

• Metoclopramide (rash)

• Clarithromycin (itchiness)

• Codeine (rash)

Everyone is healthy and well. No cancers run in the family as far as I am aware of.

• Smoking: Smokes 1 to 2 cigarettes a day for the past 3 years

• Alcohol: Typically a bottle of wine over a week.

• Recreational drugs: Never

• Diet: I am vegan. I have been very busy with a new project lately and have not been able to pay much attention to my diet.

• Exercise: I go to the gym three to four times a week.

• Ill contacts: None

• Home: Lives alone with two dogs and a cat.

• Occupation: Manager