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+--- Thread: case of fatigue - syndrome (/showthread.php?tid=304546)
case of fatigue - syndrome - ArchivalUser - 05-23-2008
how will you start physical exam,and what will u do
can some one plz give me an idea
0 - ArchivalUser - 05-23-2008
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
0 - ArchivalUser - 05-23-2008
sleep apnea syndrome
anemia.......these are imp too
0 - ArchivalUser - 05-23-2008
thanx cschicago11