Night Sweats

HISTORY:

Night sweats for ‍ ‍hoursdays

Severity: ‍mildmoderatesevere, requiring ‍no change of clothes or beddingchange of clotheschange of bedding

Pattern: ‍every night

Worsening factors: ‍none

Alleviating factors: ‍none, ‍effectiveineffective

‍fever, up to ‍°, over ‍ ‍hoursdays

‍chills

‍weight loss, ‍ ‍lbskg over ‍ ‍weeksmonths, ‍unintentionalintentional

‍loss of appetite

‍fatigue

‍cough

‍dyspnea, ‍at reston exertion

‍hemoptysis

‍chest pain

‍abdominal pain

‍diarrhea

‍changes in bowel habits

‍joint pain

‍headache

‍hematuria



EXAM:

General appearance: ‍well-appearing

Vital signs: ‍normal, BP ‍, HR ‍, RR ‍, SpO2 ‍ %, Temp ‍°

Throat: ‍normalrednessexudate

Neck: ‍normallymphadenopathy

Heart: ‍RRR, ‍normal S1 and S2

Lungs: ‍clearabnormal sounds, ‍retractions

Breasts: -R: ‍normal, -L: ‍normal

Abdomen: ‍softsemi-softtense, ‍non-tender ‍, ‍non-distended, ‍

Pelvic: vulva ‍normal, vagina ‍normal, cervix ‍normal, uterus ‍normal, adnexa ‍normal, ‍no cervical motion tenderness

Skin: ‍no rash

Extremities: ‍edema, ‍warm, cap refill ‍< 3 sec> 3 sec, pulses ‍normal, ‍

Musculoskeletal: joints ‍ ‍normal, ‍no limited ROM



ASSESSMENT:

‍Night sweats due to benign causes ‍likelysuspectedpossible

DDx: ‍



PLAN:

- Blood work: ‍CBC, ‍lytes, ‍creatinine, ‍glucose, ‍LFTs, ‍albumin, ‍TSH, ‍cortisol, ‍HIV, ‍ESR, ‍CRP, ‍FSH

- Blood cultures

- Chest X-ray

- Tuberculosis test

- Sleep hygiene education

- Avoidance of alcohol and spicy foods

- Medication trial: ‍

- Referral to endocrinologist

- Follow-up in ‍ ‍weeksmonths

- Return if night sweats worsen or losing weight