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Approach to fatigue - Coggle Diagram
Approach to fatigue
Red Flag Features
Unintentional Weight Loss:
o Can suggest malignancy, chronic infection, or other serious systemic diseases.
o May indicate infection (e.g., tuberculosis), malignancy (e.g., lymphoma), or autoimmune conditions.
o Persistent or unexplained lymphadenopathy may be associated with malignancies (e.g., lymphoma or metastatic cancer), infections, or autoimmune diseases.
Persistent Localized Pain:
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Recent Onset or Change in Symptoms in Older Age (>50 years):
o Particularly concerning for malignancies, neurodegenerative diseases, or cardiovascular problems.
Significant Sleep Disturbances (Obstructive Sleep Apnea, Insomnia):
o Can lead to chronic fatigue but may also signal serious sleep-related disorders requiring specialized management.
o Chest pain, palpitations, dyspnea on exertion, or orthopnea may suggest heart failure or cardiovascular disease.
o New or progressive weakness, difficulty concentrating, memory problems, or focal neurological deficits may point to neurological conditions (e.g., multiple sclerosis, myasthenia gravis, or brain tumors).
o Severe depression, psychosis, or anxiety that could be causing or contributing to the fatigue.
o Symptoms like cold intolerance, hair loss, and weight gain suggest hypothyroidism. Heat intolerance, weight loss, and tachycardia may indicate hyperthyroidism.
o Recent changes in medication or use of medications with fatigue as a side effect (e.g., beta-blockers, antidepressants) should be noted.
Family History of Cancer or Autoimmune Disease:
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