Fatigue as a clinical symptom.pdf

Fatigue as a clinical symptom Dylan Roberts DEM3 What is fatigue? Fatigue is defined as a sensation of exhaustion during or after usual activities, or a feeling of inadequate energy to begin these activities. It can be caused by many medical conditions, psychological factors and lifestyle factors, m...

Fatigue as a clinical symptom Dylan Roberts DEM3 What is fatigue? Fatigue is defined as a sensation of exhaustion during or after usual activities, or a feeling of inadequate energy to begin these activities. It can be caused by many medical conditions, psychological factors and lifestyle factors, making it a important and often overlooked symptom. Dylan Roberts Causes of fatigue Medical conditions: Heart failure, Insomnia, Cancer, Multiple sclerosis, Fibromyalgia, Chronic Fatigue Syndrome. Treatments and Medication: Chemotherapy, NSAIDS, antidepressants, sedatives. Psychological factors: Depression, anxiety, stress, cognitive overload. Lifestyle factors: Poor sleep routine, poor nutritional diet, lack of social interaction, sedentary lifestyle. Dylan Roberts Measurements of fatigue 1. Brief fatigue inventory (Mainly cancer patients) 2. Fatigue severity scale (9 questions to grade fatigue) 3. Fatigue symptom inventory 4. Multidimensional assessment of fatigue scale (RA) Dylan Roberts  Fatigue can be split into three Assessing Fatigue categories: in patients Recent fatigue (1 month) Chronic fatigue (>6 months) 1. Characterise the fatigue (Full History) 2. Assess presence of complaints suggesting organic illness associated with fatigue 3. Evaluate medicines used and/or substances misused 4. Perform psychiatric screening 5. Ask questions on sleep quantity and/or quality 6. Perform a physical examination 7. Undertake investigations Dylan Roberts MCQ: Which one of the following measurement of fatigue involves 9 questions with 7 points per question, often used to grade the condition of cancer and Multiple sclerosis patients?: A. Brief fatigue inventory (Mainly cancer patients) B. Fatigue severity scale (9 questions to grade fatigue) C. Fatigue symptom inventory D. Multidimensional assessment of fatigue scale (RA) E. None of the above Referenences: Log in: BMJ Best Practice (no date) Log in | BMJ Best Practice. Available at: https://bestpractice.bmj.com/topics/en-gb/571/diagnosis-approach (Accessed: 10 September 2024). professional, C.C. medical (2024) Fatigue, Cleveland Clinic. Available at: https://my.clevelandclinic.org/health/symptoms/21206-fatigue (Accessed: 10 September 2024). Dylan Roberts