Night Sweats

Question 1

DDx For Night Sweats

Answer 1

“TALL” - “Homeless”

TB

Acute HIV Infection

Lymphoma

Leukemia

Hyperthyroidism

Question 2

Workup For Night Sweats

Answer 2

Think of the DDx for Night Sweats (TALL-H):

PPD, Stains (Gram, Acid-Fast), Cx, CXR for TB

HIV Anitbody for HIV

CBC for lymphoma, leukemia

TSH, T4 for hyperthyroidism

Question 3

Key H/P for Night Sweats

Answer 3

Lymphadenopathy

Wt Loss

Sick Contacts

Prisoner

Homeless

Traveler (non-immunized immigrant)

Question 4

Example Case For Night Sweats

Answer 4

30 yo male with night sweats, cough, and swollen glands for 1 month duration. (page 93 FA CS)