- A Ghoulish Update12:13Shocking Electroconvulsive Therapy (ECT)8:27Paper Chase #1 - Placebo vs Nocebo Show Down6:09Post-Traumatic Bone Crusher Headaches16:39I’m Deathly Tired….The Fatigue Work Up22:25Paper Chase #2 - To Augment or Switch Antidepressants? That is the Question4:49My kid is Freakin’ Seizing!! Simple Febrile Seizures20:39The Tools of Satan: IVC FiltersFree Chapter16:30Paperchase #3 - CV testing and Outcomes in Chest Pain6:04Things I Do But Should I? Epicondylitis Bracing Carnage5:17Paper Chase #4 - The Price of Crossing the Border for Medications6:59Chronic Seeping Oozing Wounds16:14*SCREEEECH!!* PEP for HIV12:46Paperchase #5 - Lithium Use in Pregnancy and the Risk of Cardiac Malformations6:03The Summary17:14
Fatigue is a very common symptom in primary care. Unfortunately, the cause is rarely found. Taking a thorough history and doing a physical exam may identity the cause of the fatigue or help direct further investigations. The differential is wide and encompasses many cardiovascular, respiratory, endocrinologic, and psychiatric conditions. Even with such a broad differential, many causes remain categorized as “NYD”. Neda and Heidi describe a tier-like approach to ordering investigations and discuss how to help you patient manage this debilitating symptom.