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Tiredness/fatigue - Coggle Diagram
Tiredness/fatigue
Investigations. If symptoms >1 month
Full blood count
B12 & Folate
Erythrocycte sedimentation rate (ESR) or C-reactive protein (CRP)
Liver function test
Renal function test
Thyroid function test
HbA1c
Bone biochemisty and myeloma screen
Vitamin D level
Mono spot test for infectious mononucleosis
HIV
Hepatitis serology
Chest X-ray & sputum for TB
Management
Lifestyle advice
Manage underlying cause
Offer advice on sleep hygiene
Limiting the length of rest periods to 30 minutes at a time.
Introduce low levels physical & cognitive activities
using relaxation techniques
Healthy balanced diet
reduce alcohol
Causes
Physical
Malignancy
Anaemia
Diabetes
Glandular fever
Pregnancy
Excessive exercise
Reduced calorie intake
ME
Psychological
Anxiety
Grief
Risk factors
Female
Obesity
Socially deprived
Reduced physical activity