Chronic fatigue syndrome - Chronic
Definition
A severe and disruptive fatigue of unknown etiology lasting longer than 6 months , occurring along with symptoms such as joint and muscle pain, headache, cognitive dysfunction, and sleep disturbance as identified by the Centers for Disease Control and Prevention
Medical History
* Female
* Past medical history of Viral disease
* Depression [Depression - Chronic]
* Functional disorder
Findings
* Fatigue
* Headache
* Impaired cognition
* Increased body temperature
* Irritable bowel syndrome - Chronic
* Malaise
* Muscle weakness
* Musculoskeletal pain
* Paresthesia
* Point tenderness
* Unrefreshed by sleep
Differential Diagnosis
* Diabetes mellitus - Chronic
* Addison's disease
* Nutritional disorder
* Fibromyalgia - Chronic
* Hypercalcemia - Acute
* Substance abuse
* Sleep apnea
* Depression - Chronic
* Hepatitis
* Hyperthyroidism - Chronic
* Hypothyroidism - Chronic
* Cancer
* Renal impairment
* Irritable bowel syndrome - Chronic
* Domestic violence
Treatment
Drug Therapy
Pain
ACETAMINOPHEN
Adults: 650 to 1,000 mg orally every 4 to 6 hours as needed (maximum 4 g/day)
Pediatrics: 10 to 15 mg/kg orally or rectally every 4 to 6 hours as needed (maximum 5 doses or 4 g/day)
Neonates: 10 to 15 mg/kg orally or rectally every 6 to 8 hours as needed
TRAMADOL HYDROCHLORIDE
Chronic fatigue syndrome
FLUOXETINE HYDROCHLORIDE
BUPROPION HYDROCHLORIDE
VENLAFAXINE HYDROCHLORIDE
Procedural Therapy
Chronic fatigue syndrome
* Cognitive - behavior therapy: Cognitive behavioral therapy (CBT) has been shown to be beneficial in some patients .
Non-Procedural Therapy
Chronic fatigue syndrome
* Exercise Therapy
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