Sleepy: Symptom Causes

Fatigue
(In a Page: Signs and Symptoms)

... Fatigue is a very common, although nonspecific, presenting symptom that refers to the sensation of exhaustion during or after usual activities, or a feeling of inadequate energy to begin these... Differential Diagnosis ... Workup and Diagnosis ... Treatment ... READ EXCERPT »

Insomnia
(In a Page: Signs and Symptoms)

... Insomnia may be a primary diagnosis or a complaint or symptom secondary to an underlying acute or chronic disorder. Many patients have insomnia but do not tell their doctors, so questions... Differential Diagnosis ... Workup and Diagnosis ... Treatment ... READ EXCERPT »

Syncope
(In a Page: Signs and Symptoms)

... Syncope is often referred to by patients as “fainting” and is defined as a loss of postural tone and consciousness. Syncope usually lasts for brief periods of a few minutes.... Differential Diagnosis ... Workup and Diagnosis ... Treatment ... READ EXCERPT »

Coma
(In A Page: Pediatric Signs and Symptoms)

... Coma is a state of total unawareness of the self and the environment. There is no eye opening or response to voice or painful stimuli. Coma can be due to dysfunction of either bilateral cerebral cortex or the reticular activating system... Differential Diagnosis ... Workup and Diagnosis ... Treatment ... READ EXCERPT »

Fatigue
(In A Page: Pediatric Signs and Symptoms)

... Complaints of fatigue indicate a general state of decreased endurance for, or interest in, activities. It is typically associated with tiredness and sleepiness. Depression as a cause of fatigue... Differential Diagnosis ... Workup and Diagnosis ... Treatment ... READ EXCERPT »

Syncope
(In A Page: Pediatric Signs and Symptoms)

... Syncope is temporary loss of consciousness and muscle tone due to decreased cerebral blood flow. It is otherwise known as fainting or blackout. Syncope is a common pediatric problem that, in contrast to that in adults, usually has a benign... Differential Diagnosis ... Workup and Diagnosis ... Treatment ... READ EXCERPT »

Muscle Weakness – Distal
(In A Page: Pediatric Signs and Symptoms)

... Distal weakness is most likely secondary to neuropathy, and is often associated with loss of deep tendon reflexes (DTRs) either with or without sensory abnormalities. In contrast, increased DTRs... Differential Diagnosis ... Workup and Diagnosis ... Treatment ... READ EXCERPT »

Muscle Weakness – Proximal
(In A Page: Pediatric Signs and Symptoms)

... Proximal weakness is usually due to dysfunction of the lower motor unit; that is, anterior horn cells in the spinal cord, neuromuscular junction (NMJ), or the muscle itself. The neurologic examination, EMG, and nerve conduction studies,... Differential Diagnosis ... Workup and Diagnosis ... Treatment ... READ EXCERPT »

INSOMNIA
(Differential Diagnosis in Primary Care)

... It is customary to assume that the cause of the disorder is psychogenic and simply to prescribe a sleeping pill to anyone suffering from insomnia, hoping that it will go away by ... READ EXCERPT »

SYNCOPE
(Differential Diagnosis in Primary Care)

... The differential of syncope or a brief loss of consciousness is best developed with the use of physiology and, to a lesser extent, anatomy. Like convulsions (see page 128), syncope is due to a diminished supply of oxygen and ... READ EXCERPT »

COMA AND SOMNOLENCE
(Differential Diagnosis in Primary Care)

... Somnolence is a deep sleep from which the patient can be aroused. Coma is an unconscious state from which the patient cannot be aroused. Because somnolence may be simply an early stage of coma, its etiologies are almost all ... READ EXCERPT »

WEAKNESS AND FATIGUE, GENERALIZED
(Differential Diagnosis in Primary Care)

... The analysis of the causes of weakness depends on a knowledge of both anatomy and biochemistry. Strength depends on an intact healthy muscle, peripheral nerve, and lower and upper motor neuron pathways ... READ EXCERPT »

Fatigue
(Handbook of Signs & Symptoms (Third Edition))

... Fatigue is a feeling of excessive tiredness, a lack of energy, or exhaustion accompanied by a strong desire to rest or sleep. This common symptom is distinct from weakness, which involves the muscles, but may occur... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... READ EXCERPT »

Insomnia
(Handbook of Signs & Symptoms (Third Edition))

... Insomnia is the inability to fall asleep, remain asleep, or feel refreshed by sleep. Acute and transient during periods of stress, insomnia may become chronic, causing constant fatigue, extreme anxiety as... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures ... READ EXCERPT »

Level of consciousness, decreased
(Handbook of Signs & Symptoms (Third Edition))

... A decrease in the level of consciousness (LOC), from lethargy to stupor to coma, usually results from a neurologic disorder and may signal a life-threatening complication, such as... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures ... READ EXCERPT »

Muscle weakness
(Handbook of Signs & Symptoms (Third Edition))

... Muscle weakness is detected by observing and measuring the strength of an individual muscle or muscle group. It can result from a malfunction in the cerebral hemispheres, brain... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures ... READ EXCERPT »

Syncope
(Handbook of Signs & Symptoms (Third Edition))

... A common neurologic sign, syncope (or fainting) refers to a transient loss of consciousness associated with impaired cerebral blood supply or cerebral hypoxia. It usually occurs abruptly and lasts for... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... READ EXCERPT »

Muscle Weakness
(A Pocket Manual of Differential Diagnosis)

... Acute or Subacute* Electrolyte abnormality    Hyperkalemia    Hypokalemia    ... READ EXCERPT »

Syncope
(A Pocket Manual of Differential Diagnosis)

... Neurologic or Mechanical Causes, or Both Mediated by vagal stimulation or autonomic insufficiency, or both    Vasovagal reaction (often associated with ... READ EXCERPT »

Acute Confusional State or Coma, or Both*
(A Pocket Manual of Differential Diagnosis)

... Usually No Lateralizing Signs, Normal Brainstem Reflexes Drug withdrawal after chronic intoxication, especially    Alcohol ... READ EXCERPT »

Hypercoagulable States
(A Pocket Manual of Differential Diagnosis)

... Congenital Antithrombin III deficiency Protein C deficiency Protein S deficiency Homocystinuria ... READ EXCERPT »

Chronic fatigue syndrome
(Professional Guide to Diseases (Eighth Edition))

... Sometimes called chronic Epstein-Barr virus, or myalgic encephalomyelitis, chronic fatigue and immune dysfunction syndrome is typically marked by debilitating fatigue,... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures ... READ EXCERPT »

Fatigue
(Professional Guide to Signs & Symptoms (Fifth Edition))

... Fatigue is a feeling of excessive tiredness, lack of energy, or exhaustion accompanied by a strong desire to rest or sleep. This common symptom is distinct from weakness, which involves the muscles, but may accompany it... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... READ EXCERPT »

Insomnia
(Professional Guide to Signs & Symptoms (Fifth Edition))

... Insomnia is the inability to fall asleep, remain asleep, or feel refreshed by sleep. Acute and transient during periods of stress, insomnia may become chronic, causing constant fatigue, extreme anxiety as... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures ... READ EXCERPT »

Level of consciousness, decreased
(Professional Guide to Signs & Symptoms (Fifth Edition))

... A decrease in level of consciousness (LOC), from lethargy to stupor to coma, usually results from a neurologic disorder and may signal a life-threatening complication, such as hemorrhage, trauma, or cerebral edema. However, this... Emergency Interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures ... READ EXCERPT »

Muscle weakness
(Professional Guide to Signs & Symptoms (Fifth Edition))

... Muscle weakness is detected by observing and measuring the strength of an individual muscle or muscle group. It can result from a malfunction in the cerebral hemispheres, brain stem, spinal cord, nerve roots, peripheral... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures ... READ EXCERPT »

Syncope
(Professional Guide to Signs & Symptoms (Fifth Edition))

... A common neurologic sign, syncope (or fainting) refers to transient loss of consciousness associated with impaired cerebral blood supply or cerebral hypoxia. It usually occurs abruptly... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... READ EXCERPT »

Coma
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)

... Anne Cather Cutlip Coma represents a state of unarousable unresponsiveness in which the patient has no evidence of self or environmental awareness (1). ... History ... Physical examination ... Testing ... Diagnostic assessment. ... READ EXCERPT »

Fatigue
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)

... Meg Hayes Fatigue is both a normal human response as well as a symptom of physical or psychological disease. It is a subjective sensation that is multicausal and nonspecific for which no... Approach ... History ... Physical examination ... Testing. ... Diagnostic assessment ... READ EXCERPT »

Insomnia
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)

... Charles E. Henley Insomnia is more than just being unable to fall asleep. It is a subjective condition of insufficient or nonrestorative sleep despite an adequate opportunity to sleep (1). The... Approach. ... History ... Physical examination. ... Testing ... Diagnostic assessment ... READ EXCERPT »

Syncope
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)

... James C. Chesnutt Syncope is a common and concerning medical problem, which accounts for 3% of emergency room visits and up to 6% of hospital admissions.... Approach. ... History ... Physical examination ... Testing. ... Diagnostic assessment. ... Pictures ... READ EXCERPT »

Coma
(Field Guide to Bedside Diagnosis)

... Differential Overview ❑ Alcohol intoxication ❑ Drug overdose ❑ ... Diagnostic Approach ... Clinical Findings ... Pictures ... READ EXCERPT »

Fatigue
(Field Guide to Bedside Diagnosis)

... Differential Overview ❑ Infectious mononucleosis ❑ Depression ❑ Diabetes ... Diagnostic Approach ... Clinical Findings ... READ EXCERPT »

Syncope
(Field Guide to Bedside Diagnosis)

... Differential Overview Orthostatic/Autonomic ❑ Neurally mediated hypotension ❑ Volume depletion ... Diagnostic Approach ... Clinical Findings ... READ EXCERPT »

Chronic fatigue and immune dysfunction syndrome
(Handbook of Diseases)

... Chronic fatigue and immune dysfunction syndrome (CFIDS) — also known as chronic fatigue syndrome, chronic Epstein-Barr virus [EBV], benign myalgic encephalomyelitis, and ... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures ... READ EXCERPT »

Level of consciousness, decreased
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)

... A decrease in level of consciousness (LOC), from lethargy to stupor to coma, usually results from a neurologic disorder and may signal a life-threatening complication, such as hemorrhage, trauma, or cerebral edema.... Assessment ... History ... Physical examination ... Pediatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures ... READ EXCERPT »

Syncope
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)

... A common neurologic sign, syncope (or fainting) refers to transient loss of consciousness associated with impaired cerebral blood supply or cerebral hypoxia. It usually occurs abruptly and lasts for seconds to minutes. An... Assessment ... History ... Physical examination ... Pediatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... READ EXCERPT »

Fatigue
(Signs & Symptoms: A 2-in-1 Reference for Nurses)

... Fatigue is a feeling of excessive tiredness, lack of energy, or exhaustion accompanied by a strong desire to rest or sleep. This common symptom is distinct from weakness, which involves the muscles, but may occur with... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures ... READ EXCERPT »

Insomnia
(Signs & Symptoms: A 2-in-1 Reference for Nurses)

... Insomnia is the inability to fall asleep, remain asleep, or feel refreshed by sleep. Acute and transient during periods of stress, insomnia may become chronic, causing... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures ... READ EXCERPT »

Level of consciousness, decreased
(Signs & Symptoms: A 2-in-1 Reference for Nurses)

... A decrease in level of consciousness (LOC), which can range from lethargy to stupor to coma, usually results from a neurologic disorder and may signal a life-threatening complication, such as hemorrhage, trauma, or cerebral... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures ... READ EXCERPT »

Muscle weakness
(Signs & Symptoms: A 2-in-1 Reference for Nurses)

... Muscle weakness is detected by observing and measuring the strength of an individual muscle or muscle group. It can result from a malfunction in the cerebral hemispheres, brain stem, spinal cord, nerve roots, peripheral nerves, or... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures ... READ EXCERPT »

Syncope
(Signs & Symptoms: A 2-in-1 Reference for Nurses)

... A common neurologic sign, syncope (or fainting) refers to transient loss of consciousness associated with impaired cerebral blood supply or cerebral hypoxia. It usually occurs abruptly and... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures ... READ EXCERPT »

Fatigue
(The Diagnostic Approach to Symptoms and Signs in Pediatrics)

...Defined as lack of energy for activitiesand decreased endurance for them. Principal Causes of Fatigue Physiologiccauses Pathologic causes Anemia Infection Chronic disease ... Clinical Features and Diagnosis ... Diagnostic Approach ... References ... READ EXCERPT »

Syncope and Dizziness
(The Diagnostic Approach to Symptoms and Signs in Pediatrics)

...Syncope is a transient loss of consciousnessand postural tone usually produced by impaired cerebral blood flow.Generally, a syncopal episode in childhood is a benign isolatedevent; however, some causes can... Principal Causes of Syncope and Dizziness ... Clinical Features and Diagnosis ... Diagnostic Approach ... References ... READ EXCERPT »

Alteration in Consciousness
(The Diagnostic Approach to Symptoms and Signs in Pediatrics)

... Consciousness—awarenessof one's self and environment—depends on integrityof reticular activating system and cerebral hemispheres. Disease processes that depress reticularactivating system and/or both... Principal Causes of Alteration in Consciousness ... Clinical Features and Diagnosis ... Diagnostic Approach ... References ... READ EXCERPT »

Fatigue
(Nursing: Interpreting Signs and Symptoms)

... Fatigue is a feeling of excessive tiredness, a lack of energy, or exhaustion accompanied by a strong desire to rest or sleep. This common symptom is distinct from weakness, which involves the muscles, but may occur with it. ... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures ... READ EXCERPT »

Insomnia
(Nursing: Interpreting Signs and Symptoms)

... Insomnia is the inability to fall asleep, remain asleep, or feel refreshed by sleep. Acute and transient during periods of stress, insomnia may become chronic, causing constant fatigue, extreme anxiety as bedtime approaches, and... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures ... READ EXCERPT »

Level of consciousness, decreased
(Nursing: Interpreting Signs and Symptoms)

... A decrease in the level of consciousness (LOC), from lethargy to stupor to coma, usually results from a neurologic disorder and may signal a life-threatening complication, such as hemorrhage, trauma, or cerebral edema... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures ... READ EXCERPT »

Muscle weakness
(Nursing: Interpreting Signs and Symptoms)

... Muscle weakness is detected by observing and measuring the strength of an individual muscle or muscle group. It can result from a malfunction in the cerebral hemispheres, brain stem, spinal... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures ... READ EXCERPT »

Syncope
(Nursing: Interpreting Signs and Symptoms)

... A common neurologic sign, syncope (or fainting) refers to a transient loss of consciousness associated with impaired cerebral blood supply or cerebral hypoxia. It usually occurs abruptly and lasts for seconds to... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... READ EXCERPT »