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Full Version: case of fatigue - syndrome
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how will you start physical exam,and what will u do
can some one plz give me an idea
it depends what is possbile cause of fatigue. You should figure it out from history, then decide which should be focused on.

some suggestions:

Occult malignancy (most likely pancreatic or liver cancer)--focused on abd, skin.
Hypothyroidism: thyroid and some general PE.
Depression: general PE (including thyroid),sometimes need MMSE.
HIV infection: mouth,skin, and abd,etc.
hepatitis--abd, skin
chronic fatigue syndrome--general PE
sleep apnea syndrome
anemia.......these are imp too
thanx cschicago11