A Practical Approach to Fatigue PDF

:‫هذا اللي يهمه‬ most common cause = psychological. 🛑 By investigation all diseases can cause fatigue. Fatigue for > 6 months with criteria of chronic fatigue = Chronic Fatigue syndrome. Treatment: treat of the cause + sleep hygiene.  Since when...

:‫هذا اللي يهمه‬ most common cause = psychological. 🛑 By investigation all diseases can cause fatigue. Fatigue for > 6 months with criteria of chronic fatigue = Chronic Fatigue syndrome. Treatment: treat of the cause + sleep hygiene.  Since when? Does she have thyroid problem? ( hypothyroidism cause fatigue ) What does the patient mean by “fatigue”? what is the most common cause of fatigue in general? Psychogenic fatigue. ———- First, think of psychological fatigue then organic causes eg. Hematologic, endocrinal, GIT, and CV.  No energy to do new activities or usual activities. Eg. Can't clean the house as always. Can't help her children to study as always Eg. Can't study more.  Eg. Didn't go to work because of his fatigue. Didn't cook for her family because of her fatigue. 1m > 6m  it is important to know how to screen for depression using a questionnaire.  M.C All endocrine disorders All renal and liver disorders never forget it  They don't help that much as history. Eg, hepatic patient. ‫كل الحاجات اللي انتم عارفينها‬ 1 - screening for psychogenic disorder. ‫كل الكالم تبقى انت عارفه‬  For any hematological disorder eg. Anemia  Do it when you want to search for chronic infection or malignancy + CRP Ask for HCG in urine and blood. ( quantitive and quantitative )  Test depends on the cause.  ‫‪"-‬بداية جديدة أو مؤكدة" = ظهور األعراض بشكل واضح ومفاجئ يختلف عن الحالة الصحية السابقة‪.‬‬ ‫‪ Has a criteria :‬‬  If found if there’s no clear cause : Family relationships Then give antidepressants medication:  It’s important to get adequate sleep.  Criteria : 4 from these + fatigue >6 months = CFS  Us  What are the causes ? ‫عدد عناوين بس‬  3 things : ( tender cervical lymph nodes )