Fatigue

In this podcast, Drs. Andrew Cutler and Stephen M. Stahl discuss the myriad comorbidities associated with the syndrome of fibromyalgia. Patients often present complaining of fatigue as well as pain. Recent research suggests a link between pain, depression and sleep, which is discussed in this podcast.  

Side-effects of radiotherapy Common acute side-effects  Reddening and soreness of the skin  Discomfort and swelling of breast or chest area  Fatigue Common …  

Marrow fibrosis and splenomegaly, de novo or following transformation of PV or ET Usually >50 years old Abnormal megkaryocytes produced in increased numbers. PDGF and TGFβ are released by megakaryocytes, stimulating fibrosis. Haematopoietic stem cells move to the spleen and liver Presentation: fatigue, weight loss, splenomegaly, splenic pain, portal hypertension, bleeding varices, ascites and hepatomegaly  

Purpose: To document fatigue in New Zealand junior doctors in hospital-based clinical training posit  

Naked Scientists - 12th May 2012 - Cracking Chronic Fatigue  

It is vital to assess pituitary function at the time of diagnosis and doctors should have a low threshold for initiating hydrocortisone when there are features suggestive of adrenocorticotrophic hormone deficiency (for example, lethargy, fatigue, weight loss, hypotension)  

Parkinson’s disease is one of the most common neurodegenerative disorders seen in the United States and United Kingdom. The disease is characterised by two processes—cellular degeneration and the resulting biochemical deficiency of dopamine. Although these processes are inter-related, they are approached separately in the clinical setting. Currently, no proven neuroprotective or disease modifying treatment is available for Parkinson’s disease. Several agents can be used to treat the motor symptoms associated with dopamine deficiency, and it is important to choose wisely when starting treatment. Drugs can have mild, moderate, or high potency, and the patient’s goals, comorbidities, and the short and long term implications of choosing a specific agent should be taken into account when selecting the appropriate agent. Non-motor symptoms, such as depression, fatigue, and disorders of sleep and wakefulness, also need to be evaluated and treated. Research is under way to deliver dopaminergic therapy more effectively, but studies aimed at slowing or stopping disease progression have not shown promise.  

Researchers assessed whether a multimodal group exercise intervention had physiological, functional, and emotional benefits for patients with cancer. A randomised controlled trial was performed. The intervention was supervised exercise comprising high intensity cardiovascular and resistance training, relaxation and body awareness training, and massage. The intervention was delivered for nine hours weekly for six weeks in addition to conventional care. The control treatment was conventional care alone. Participants were 269 patients with cancer undergoing adjuvant chemotherapy or treatment for advanced disease. The primary outcome was fatigue at six weeks as assessed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30); scores range from 0 to 100 and higher scores represent higher levels of fatigue. Secondary outcomes included measures of physical capacity, general wellbeing, physical activity, and quality of life.1  

A 38 year old white man presented to the emergency department with a three month history of progressively worsening shortness of breath. He had also experienced other vague symptoms over the same period, including muscle aches, weakness, pains associated with fatigue, and noticeable weight loss. Having previously been fit and well, he was now struggling to climb the stairs at home. The onset of symptoms coincided with an episode of food poisoning; he denied any recent travel.  

How to Heal Eczema, Arm Numbness and Fatigue At http://bergmanchiropractic.com and http://Owners-Guide.com we strive to educate people on natural solutions t...  

Modifiable factors such as awkward postures, fatigue and distraction can increase odds of acute episodes of low back pain, say researchers.  

Find out the potential health benefits of practicing yoga, including effectiveness for low back pain, increasing flexibility, improving cancer-related fatigue and aiding balance.  

Use of electroacupuncture (EA) - a form of acupuncture where a small electric current is passed between pairs of acupuncture needles - produces significant improvements in fatigue, anxiety and...  

Patients with End stage chronic heart disease suffer a lot. Characteristic are fluid retention, fatigue and shortness of breath.  

In the January 2015 issue of P&P a report outlines the role of perfectionism in chronic fatigue and in other medical disturbances such as irritable bowel syndrome and fibromyalgia.  

Patients with fibromyalgia syndrome (FMS) typically have widespread chronic pain and fatigue.  

Individual Patients May Experience Some Weather SensitivityDutch researchers report that weather conditions including temperature, sunshine, and precipitation have no impact on...  

Social relationships, fatigue and other coexisting medical problems have a stronger effect on how patients with irritable bowel syndrome (IBS) rate their overall health than the severity of...  

The rapid rise in popularity of energy drinks, particularly among adolescents (aged 10-19 years) and young adults, has serious implications for cardiac health. In an article published in the Canadian Journal of Cardiology, researchers focus on the pharmacology of energy drinks, adverse reactions to them, and how the marketing of these drinks as a means to relieve fatigue and improve physical and cognitive performance may be ignoring real dangers.  

54 yo F with no PMHx, but admittedly has not been seen by an MD in many years, presents after her daughter visited from our-of-town and found her slightly confused. The patient is disoriented, but able to provide some history. She describes progressive fatigue over several weeks. Vitals signs are remarkable for hypothermia 94F, HR 52, BP 150/90, RR 12, SpO2 100%RA. Exam is notable for AAO2, no focal neuro deficits, prominent facial swelling, and non-pitting lower extremity edema. FS glucose 160. Laboratory analysis is concerning for mild hyponatremia and severe hypothyroidism.