What is in the Differential Diagnosis of Fatigue?
Discussion Fatigue is a subjective feeling of decreased energy, tiredness or feeling of exhaustion. Lethargy is often used synonymously, but lethargy is a state of being drowsiness or sleepy, and implies mental status changes. Both can cause the person to be apathetic or less active. Fatigue is a common state that almost everyone experiences multiple times in his or her lifetime. For most people it is a relatively acute or short-term chronic problem, often with a relatively easily identifiable problem cause, such as inadequate sleep, acute illness, or overexertion. For some, it can be less readily identifiable such as depression, anemia, or hypothyroidism or because of a chronic illness with its waxing and waning natural history or being under- or over-treated. Chronic fatigue and cause decreased quality of life, school or work problems, and depression. It seems to many health care providers that adolescents and their parents complain about fatigue. This is not surprising as adolescents often do not get enough sleep, may be either overexerting themselves with activities or conversely be deconditioned because of little activity, be worried about school and other life issues, or not eat or drink consistently or are dieting. They may also be taking medications or drugs, have a chronic disease or are pregnant. The keys to the evaluation of fatigue often lie in a detailed history and review of systems that can then guide laboratory evaluation and treatment. Laboratory testing c...
CONCLUSION: Although temporal arteritis is suggestive of GCA, other causes of temporal arteritis can be identified with temporal artery biopsy. PMID: 31201015 [PubMed - as supplied by publisher]
PURPOSE: This matched cohort study aims to determine whether teenagers with a history of childhood sexual abuse (CSA) are at greater risk of consulting for a pregnancy and related complications than teenagers from the general population. It also aims to co...
BACKGROUND: Globally, alcohol use is responsible for 320 deaths every hour, and the impact is more among those in the younger age group. Despite the adverse health and social challenges associated with alcohol use, alcohol remains the most used and abused ...
Despite disproportionate health outcome disparities experienced by Black women, reproductive coercion (RC), a range of behaviors to promote unwanted pregnancy and childbearing motivations among poor young Black men are underexamined in current empirical li...
CONCLUSION: Cocaine use may be responsible for asthma onset, acute asthma exacerbations (which may require intubation and invasive ventilation) or death related to asthma. Cocaine use must be systematically considered in the case of asthma exacerbation and practitioners must help cocaine users to stop their consumption. PMID: 31201016 [PubMed - as supplied by publisher]
Is L rhamnosus GG a safe and effective treatment option for acute gastroenteritis in children?Alimentary Pharmacology &Therapeutics
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This study demonstrated the effectiveness and feasibility of a multicomponent, multi-trigger intervention offered through a public health department to African American children with asthma.Preventing Chronic Disease
PADDY MCGUINNESS first landed on our screens as part of a double act with Peter Kay in Phoenix nights and Max and Paddy ’s Road to Nowhere back in the early 2000s. He has been a TV favourite ever since. He recently revealed he has arthritis. Are you aware of the common signs?
has anyone else had extreme anxiety about starting med school? I'm trying to enjoy my last month off but dont know how.
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