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Is there weight loss? If there is weight loss, one must consider a neoplasm, endocrine disorders such as hyperthyroidism or diabetes mellitus, malnutrition or malabsorption, and chronic infectious diseases such as tuberculosis or subacute bacterial ... DIAGNOSTIC WORKUP
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Fatigue is a very common, although nonspecific, presenting symptom that refers to the sensation of exhaustion during or after usual activities, or a feeling of inadequate energy to begin these activities. Fatigue is a difficult clinical complaint... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Complaints of fatigue indicate a general state of decreased endurance for, or interest in, activities. It is typically associated with tiredness and sleepiness. Depression as a cause of fatigue in adolescents frequently goes undiagnosed.
Differential Diagnosis
... Workup and Diagnosis ... Treatment
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Distal weakness is most likely secondary to neuropathy, and is often associated with loss of deep tendon reflexes (DTRs) either with or without sensory abnormalities. In contrast, increased DTRs or extensor plantor responses raise the concern... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Proximal weakness is usually due to dysfunction of the lower motor unit; that is, anterior horn cells in the spinal cord, neuromuscular junction (NMJ), or the muscle itself. The neurologic examination, EMG, and nerve conduction studies, and finally the muscle enzymes and biopsy, guide... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... The analysis of the causes of weakness depends on a knowledge of both anatomy and biochemistry. Strength depends on an intact healthy muscle, peripheral nerve, and lower and upper motor neuron pathways and a functioning myoneural junction. Thus, general weakness may
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... Fatigue is a feeling of excessive tiredness, a lack of energy, or exhaustion accompanied by a strong desire to rest or sleep. This common symptom is distinct from weakness, which involves the muscles, but may occur with it.
Fatigue is a normal and important response... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
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... Flaccid muscles are profoundly weak and soft, with decreased resistance to movement, increased mobility, and a greater than normal range of motion (ROM). The result of disrupted muscle innervation, flaccidity can be localized to a limb or muscle group or generalized... Emergency Interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers
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... Muscle weakness is detected by observing and measuring the strength of an individual muscle or muscle group. It can result from a malfunction in the cerebral hemispheres, brain stem, spinal cord, nerve roots, peripheral nerves, or myoneural junctions and... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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... Acute or Subacute*
Electrolyte abnormality
Hyperkalemia
Hypokalemia
Hypercalcemia
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... Sometimes called chronic Epstein-Barr virus, or myalgic encephalomyelitis, chronic fatigue and immune dysfunction syndrome is typically marked by debilitating fatigue, neurologic abnormalities, and persistent symptoms that suggest... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Fatigue is a feeling of excessive tiredness, lack of energy, or exhaustion accompanied by a strong desire to rest or sleep. This common symptom is distinct from weakness, which involves the muscles, but may accompany it.
Fatigue is a normal and... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling
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... Flaccid muscles are profoundly weak and soft, with decreased resistance to movement, increased mobility, and greater than normal range of motion. The result of disrupted muscle innervation, flaccidity can be localized to a limb or muscle group or... Emergency Interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers
... READ EXCERPTS »
... Muscle weakness is detected by observing and measuring the strength of an individual muscle or muscle group. It can result from a malfunction in the cerebral hemispheres, brain stem, spinal cord, nerve roots, peripheral nerves, or myoneural junctions... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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... Meg Hayes
Fatigue is both a normal human response as well as a symptom of physical or psychological disease. It is a subjective sensation that is multicausal and nonspecific for which no one definition is universally... Approach ... History ... Physical examination ... Testing. ... Diagnostic assessment
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... Differential Overview
❑ Infectious mononucleosis
❑ Depression
❑ Diabetes
❑ Hypothyroidism
❑ Drugs ... Diagnostic Approach ... Clinical Findings
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... Chronic fatigue and immune dysfunction syndrome (CFIDS) — also known as chronic fatigue syndrome, chronic Epstein-Barr virus [EBV], benign myalgic encephalomyelitis, and “Yuppie flu” — is typically marked by debilitating fatigue,... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Fatigue is a feeling of excessive tiredness, lack of energy, or exhaustion accompanied by a strong desire to rest or sleep. This common symptom is distinct from weakness, which involves the muscles, but may occur with it.
Fatigue... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Muscle weakness is detected by observing and measuring the strength of an individual muscle or muscle group. It can result from a malfunction in the cerebral hemispheres, brain stem, spinal cord, nerve roots, peripheral nerves, or myoneural junctions and within the muscle itself. Muscle... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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...Defined as lack of energy for activitiesand decreased endurance for them. Principal Causes of Fatigue Physiologiccauses Pathologic causes Anemia Infection Chronic disease Allergic disease Chronic ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... Fatigue is a feeling of excessive tiredness, a lack of energy, or exhaustion accompanied by a strong desire to rest or sleep. This common symptom is distinct from weakness, which involves the muscles, but may occur with it.
Fatigue is a normal and... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ EXCERPTS »
... Flaccid muscles are profoundly weak and soft, with decreased resistance to movement, increased mobility, and a greater than normal range of motion (ROM). The result of disrupted muscle innervation, flaccidity can be localized to a limb or muscle group or... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching
... READ EXCERPTS »
... Muscle weakness is detected by observing and measuring the strength of an individual muscle or muscle group. It can result from a malfunction in the cerebral hemispheres, brain stem, spinal cord, nerve roots, peripheral nerves, or myoneural junctions and within the... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ EXCERPTS »
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The analysis of the causes of weakness depends on a knowledge of both
anatomy and biochemistry. Strength depends on an intact
healthy muscle, peripheral nerve, and lower and upper motor neuron pathways
and a functioning myoneural... Pictures
... READ EXCERPTS »
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