Chronic fatigue syndrome: Difference between revisions
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== Background == |
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* Syndrome of chronic fatigue of unknown etiology |
* Syndrome of chronic fatigue of unknown etiology |
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* Also called myalgic encephalomyelitis |
* Also called '''myalgic encephalomyelitis''' |
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== CDC Diagnostic Criteria == |
== CDC Diagnostic Criteria == |
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* Urinalysis, CBC, lytes, glucose, creatinine |
* Urinalysis, CBC, lytes, glucose, creatinine |
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* TSH, CRP, phosphorous (not sure why) |
* TSH, CRP, phosphorous (not sure why) |
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* Can also do antiendomysial antibodies for Celiac disease, rheumatoid factor, and ANA |
* Can also do antiendomysial antibodies for [[Celiac disease]], [[rheumatoid factor]], and ANA |
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== Management == |
== Management == |
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* Treat comorbidities |
* Treat comorbidities |
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** Sleep disturbance |
** Sleep disturbance |
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** Depression |
** [[Depression]] |
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** Pain |
** Pain |
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* Cognitive behavioural therapy |
* [[Cognitive behavioural therapy]] |
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* Graded exercise therapy |
* [[Graded exercise therapy]] |
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[[Category:Rheumatology]] |
[[Category:Rheumatology]] |
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Latest revision as of 12:36, 5 November 2021
Background
- Syndrome of chronic fatigue of unknown etiology
- Also called myalgic encephalomyelitis
CDC Diagnostic Criteria
- Severe fatigue for longer than six months, and at least four of the following symptoms:
- Headache of new type, pattern, or severity
- Multijoint pain without swelling or erythema
- Muscle pain
- Postexertional malaise for longer than 24 hours
- Significant impairment in short-term memory or concentration
- Sore throat
- Tender lymph nodes
- Unrefreshing sleep
Investigations
- Urinalysis, CBC, lytes, glucose, creatinine
- TSH, CRP, phosphorous (not sure why)
- Can also do antiendomysial antibodies for Celiac disease, rheumatoid factor, and ANA
Management
- Rule out other causes of fatigue
- Treat comorbidities
- Sleep disturbance
- Depression
- Pain
- Cognitive behavioural therapy
- Graded exercise therapy
