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CLINICAL APPROACH TO FATIGUE, Red flag features while approach to fatigue,…

- - - - Alcohol, Cocaine, Antidepressants, Stimulants, Antibiotics, Marijuana, Antihistamines, Muscle Relaxants, Nicotine, Opioids etc.
- - - - (widespread musculoskeletal pain with sleep, memory and mood issues)
  - - - (chronic condition featured as continued use of drugs despite negative consequences) ( poor weight gain and poor growth)
    - - (younger patients with somatization disorder, cognitive impairment and panic attacks)
    - - (suggestive history of stress, changes in schedule and environment)
  - - - (history of increased sweating and increased heart rate on minimum work)
    - - (exposure of various chemicals, air and noise pollution)
- - - - (unintended weight loss, changes in bowel and bladder habits, bone pain)
  - - - COPD
        
        (sob with wheezing and chest tightness, chronic cough with mucus production)
      - Peripheral Vascular Disease
        
        (intermittent pain and claudication of muscle esp in legs muscles)
      - Congestive Cardiac Failure, Cardiomyopathy, Cardiac Arrhythmia
      - Atypical Angina
        
        (chest pain radiate to jaw and left arm)
    - - Stroke and Cerebral Ischemia
        
        (sudden numbness and weakness of face,arm and leg with trouble movement)
      - Somatization Disorder
        
        (signs of severe physical illness without any medical causes)
      - Parkinson Disease
        
        (bradykinesia, dizziness, dystonia, postural instability)
    - - Rheumatoid Arrthritis
        
        (stiffness and swelling in one or more joints with fever fatigue and weight loss)
      - Polymyalgia, Systemic Lupus Erythematosus
        
        (skin rashes, fever Raynaud phenomenon)
      - Multiple Sclerosis , Myasthenia Gravis
        
        (difficult swallowing, numbness of arm, impaired speech)
  - - - (presents with anxiety, tremors, cold and heat intolerance, weight gain and loss)
    - - (hormonal imbalances, mood changes and hot flashes)
    - - (polyuria, polyphagia, and polydipsia with lethargy and nausea)
    - - (yellow eyes and skin, tender abdomen, changes in mental state, fluid retention, swelling of legs, ankle and feet)
    - - (presents with bone pain, renal colic, dyspnea, and exercise intolerance)
  - - - (malaise, fever weight loss and anorexia)
    - - (jaundice, fever fatigue and abdominal pain)
    - - (chest pain with fatigue and fever and swelling of feet, legs and belly)
    - - (present with diarrhea, fever and vomiting)