Approach to Fatigue Best Practice

被引:21
作者
Dukes, Jason C. [1 ]
Chakan, Matthew [2 ]
Mills, Aaron [3 ]
Marcaurd, Maurice [4 ]
机构
[1] Eastern Virginia Med Sch, Internal Med Dept, 825 Fairfax Ave,Suite 565, Norfolk, VA 23507 USA
[2] Eastern Virginia Med Sch, Internal Med Dept, 825 Fairfax Ave,Suite 481, Norfolk, VA 23507 USA
[3] Eastern Virginia Med Sch, Internal Med Dept, 825 Fairfax Ave,Suite 483, Norfolk, VA 23507 USA
[4] Eastern Virginia Med Sch, Internal Med Dept, 825 Fairfax Ave,Suite 572, Norfolk, VA 23507 USA
关键词
Fatigue; Tiredness; Sleepiness; Chronic fatigue syndrome; Myalgic encephalitis; Systemic exertion intolerance disease; PRIMARY-CARE; STOP-BANG; SYMPTOMS; HYPOTHYROIDISM; QUESTIONNAIRE; SLEEPINESS;
D O I
10.1016/j.mcna.2020.09.007
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Owing to the broad differential diagnoses that can present as fatigue, a rational approach to diagnosis is paramount. Performance of a battery of diagnostic tests is unlikely to assist with diagnosis, highlighting the importance of a thorough history and physical examination. Fatigue can be a sequela of an underlying medical disease or exists as a primary condition. Management of secondary fatigue largely depends on treatment of the underlying condition. There are no FDA-approved medications for primary fatigue, now known as system exertion intolerance disease. Treatment is focused on individualized exercise therapy and cognitive behavioral therapy. © 2020 Elsevier Inc.
引用
收藏
页码:137 / 148
页数:12
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