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CLINICAL APPROACH TO FATIGUE - Coggle Diagram

- - - - -Lack of motivation
        
        -Irritability
        
        -Anxiety
        
        -Suicidal thoughts
        
        -Cynicism, doubt and pessimism
        
        Loss of sleep
    - - -Low energy
      - -Headache
      - -Heaviness in arms
      - -Dizziness
      - -Sore muscles/Joint pain/Back pain
      - Weakness
      - Hot/Cold spells
- - - - Pregnancy
      - Food intolerance
      - Menopause Syndrome
  - - - Workload and Environmental factors
        
        (exposure of various chemicals, air and noise pollution)
      - Mental/Muscular Exertion
        
        (history of increased sweating and increased heart rate on minimum work)
    - - Fibromyalgia
        
        (widespread musculoskeletal pain with sleep, memory and mood issues)
      - Chronic Fatigue Syndrome with impaired memory memory,lymphadenopathy, joint pain and headaches
        
        Chronic fatigue syndrome(hx of more than 6 months) With impaired memory, Lymphadenopathy, Joint pain and Headaches
    - - Malnutrition/Drug Addiction
        
        (chronic condition featured as continued use of drugs despite negative consequences) ( poor weight gain and poor growth)
      - Anxiety + Depression
        
        (younger patients with somatization disorder, cognitive impairment and panic attacks)
      - Sleep disorders
        
        (suggestive history of stress, changes in schedule and environment)
  - - - Antihypertensives, Antidepressants, Analgesics, Opioids, Sedatives, Drug abuse, Drug withdrawals
    - - Parasitic Disease
        
        (present with diarrhea, fever and vomiting)
      - Endocarditis
        
        (chest pain with fatigue and fever and swelling of feet, legs and belly)
      - HIV/Infectious mononucleosis
      - Hepatitis
        
        (jaundice, fever fatigue and abdominal pain)
      - Tuberculosis
        
        (malaise, fever weight loss and anorexia)
    - - Malignant Disease
    - - Hypercalcemia, Hypomagnesaemia, Hypokalaemia
        
        (presents with bone pain, renal colic, dyspnea, and exercise intolerance)
      - Diabetes Mellitus
        
        (polyuria, polyphagia, and polydipsia with lethargy and nausea)
      - Hypo/Hyperthyroidism
        
        (presents with anxiety, tremors, cold and heat intolerance, weight gain and loss)
      - Pituitary and Adrenal Insufficiency
        
        (hormonal imbalances, mood changes and hot flashes)
      - Liver and Renal Failure
        
        (yellow eyes and skin, tender abdomen, changes in mental state, fluid retention, swelling of legs, ankle and feet)
    - - Neurological
        
        Parkinson's Disease
        
        (bradykinesia, dizziness, dystonia, postural instability)
        
        Somatization Disorder
        
        (signs of severe physical illness without any medical causes)
        
        Stroke/Cerebral Ischemia
        
        (sudden numbness and weakness of face,arm and leg with trouble movement)
      - Inflammatory/Autoimmune
        
        Polymyalgia, Systematic Lupus Erythematosus
        
        (skin rashes, fever Raynaud phenomenon)
        
        Rheumatoid Arrthritis
        
        (stiffness and swelling in one or more joints with fever fatigue and weight loss)
        
        Multiple Sclerosis , Myasthenia Gravis
        
        (difficult swallowing, numbness of arm, impaired speech)
      - Cardiopulmonary
        
        Peripheral Vascular Disease
        
        (intermittent pain and claudication of muscle esp in legs muscles)
        
        Atypical Angina
        
        (chest pain radiate to jaw and left arm)
        
        COPD
        
        (sob with wheezing and chest tightness, chronic cough with mucus production)
        
        Congestive Cardiac Failure, Cardiomyopathy, Cardiac Arrhythmia