Fatigue: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps:

• General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore:
  • Inspection (viewing).
    • Skin, mucous membranes and sclerae (white part of the eye).
    • Oral cavity
    • Pharynx (throat)
    • Abdomen (abdomen)
      • Shape of the abdomen?
      • Skin color? Skin texture?
      • Efflorescences (skin changes)?
      • Pulsations? Bowel movements?
      • Visible vessels?
      • Scars? Hernias (fractures)?
  • Auscultation (listening) of the heart.
  • Examination of the lungs
    • Auscultation (listening) of the lungs
  • Examination of the abdomen (abdomen)
    • Auscultation of the abdomen [vascular or stenotic sounds?, bowel sounds?]
    • Percussion (tapping) of the abdomen.
    • Palpation (palpation) of the abdomen (abdomen) (pressure pain?, knocking pain?, coughing pain?, defensive tension?, hernial orifices?, kidney bearing knocking pain?)
• Gynecological examination [due todifferential diagnosis: endometritis (inflammation of the uterus)].
• ENT medical examination [due todifferential diagnosis: sinusitis (sinusitis)]
• Neurological examination [due todifferential diagnosis: Parkinson’s disease]
• Psychiatric examination [due todifferential diagnosis: chronic fatigue syndrome (chronic fatigue syndrome, CFS), depression]
• Urological examination [due todifferential diagnosis: nephrotic syndrome, pyelonephritis (inflammation of the renal pelvis)]
• Health check

Square brackets [ ] indicate possible pathological (pathological) physical findings.