Fatigue is a very common complaint in the primary care office. It may be the primary cause for patient seeks care or a secondary complaint. We are all bothered by fatigue at some point . However, for maximmum of patients each year, it becomes bothersome enough to seek medicalDizziness cause diagnosis treatment. Read more ... » attention.€€ €€True fatigue needs to be distinguished from weakness and from excessive somnolence secondary to sleepSleep Disorders Types Diagnose Of Sleep Disorders. Read more ... » disturbances€€. €€Fatigue lasting less than a month is considered acuteAcute Renal Failure (ARF) Causes Clinical Features TREATMENT of ARF. Read more ... ». If symptomsAcute Renal Failure (ARF) Causes Clinical Features TREATMENT of ARF. Read more ... » last more than a month, €€fatigue is considered prolonged.
€€=fatigue Definitions €€==
ChronicChronic Hepatitis Classification viral hepatitis Clinical features and Treatment. Read more ... » fatigue is diagnosed when symptoms last &€€gt;€€6 months. The Center for DiseaseAcute Renal Failure (ARF) Causes Clinical Features TREATMENT of ARF. Read more ... » Control and Prevention has defined chronic fatigue syndromeMetabolic,Insulin Resistance Syndrome X Causes Symptoms. Read more ... » €€€€ as profound fatigue of 6 months duration that presents with four of the following eight symptoms:
Impairment in short-term mmory or concentration€€€€
Headaches of a new type, pattern, or severity
Idiopathic chronic fatigue is diagnosed if a patient has been fatigued for ox>6 months, but does not meet the other criteria for CFS.
€€==fatigue Testing Pathophysiology
Some of the common causesAcute Renal Failure (ARF) Causes Clinical Features TREATMENT of ARF. Read more ... » of CFS€€ . Fatigue may be due to medical disorders, or any psychiatric disease, or any lifestyle factors. In some cases, a cause is never determined. Fatigue that persists for several months or years is more likely to have a psychiatric etiology€€, whereas a shorter duration of fatigue is more likely to have a medical explanation If a medical cause of fatigue is present, it is usually identifiable on the initial history, physical and laboratory testing , €€Epidemiology€€The true incidence of profound fatigue is unknown. It has been estimated that over 7 million office visits per year are for complaints of fatigue €€The true gender predilection is also unknown, however, women present to the physician’s office twice as often as men. €€Patients younger than 45 years of age are more likely to present for fatigue than patients older than 45 years of age
€€ €€Evaluation€€. History€€==A vast history and review of systems should be €€performed. The onset, duration, and degree of fatigue should be explored, along with any possible precipitating events. Specific attention should be given to sleep patterns, daytime somnolence, or €€sleep apneaSleep Disorders Types Diagnose Of Sleep Disorders. Read more ... » symptoms.
The patient’s exercise habits, caffeine intake€€, and drugAcute Renal Failure (ARF) Causes Clinical Features TREATMENT of ARF. Read more ... » or alcohol use should be explored, and medications should be reviewed.
A psychiatric history to evaluate symptoms of depressionVisada Depression Ayurveda and Modern. Read more ... » or anxiety should be obtained. Lifestyle issues such as stress at home or in the work place, childcare responsibilities, shift work, or changing work schedules should be addressed.
Chronic fatigue Physical examinationHow to take good medical history & examination. Read more ... »€€
A thorough physical examinationHow to take good medical history & examination. Read more ... » should be performed. Vital signsAcute Renal Failure (ARF) Causes Clinical Features TREATMENT of ARF. Read more ... » should be carefully noted. Attention should be given to the presence of pallor, muscle weakness, goiterThyroid Goiter. Read more ... »€€, lymphadenopathy, and body habitus. A psychiatric
evaluation for signs of depression, anxiety€€, or other mental illness should be performed. In older adults, a mental status exam to evaluate cognitive function may be appropriate.
€€. fatigue Testing
Initial laboratory testing should be limited to:
Complete blood count
€€Comprehensive €€metabolic profile
€€€€ThyroidThyroid Goiter. Read more ... »-stimulating hormone
€€Erythrocyte sedimentation rate