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; further: Inspection (viewing). Skin and mucous membranes [due tosymptom: allergies (55% of cases)] Pharynx (throat) [sore throat (85% of cases)] Lymph node stations [pressure painful lymph nodes (80% of … Chronic Fatigue Syndrome: Examination
1st order laboratory parameters – obligatory laboratory tests. Small blood count Ferritin (iron stores) Differential blood count – for clarification of infections. Inflammatory parameters – CRP (C-reactive protein). Thyroid parameters TSH (fT3, fT4) – due toexclusion of hypothyroidism (hypothyroidism: > 10.0 μIU/ml) or hyperthyroidism: < 0.10 μIU/ml; euthyroidism: 0.35-4.50 μIU/ml. DHEA-S Cortisol Blood glucose levels … Chronic Fatigue Syndrome: Test and Diagnosis
Therapeutic target Relief of symptoms Therapy recommendations A causal therapy is not yet known. Improving the quality of life by using symptom-oriented drugs (see under corresponding diseases or symptoms). Review of permanent medication due topossible effect on the existing disease. See also under “Further therapy“. Supplements (dietary supplements; vital substances) Suitable dietary supplements should contain … Chronic Fatigue Syndrome: Drug Therapy
Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. Encephalogram (EEG; recording of the electrical activity of the brain) – for suspected brain organic disorders. Electrocardiogram (ECG; recording of the electrical activity of the heart muscle) – to … Chronic Fatigue Syndrome: Diagnostic Tests
An at-risk group points to the possibility that the condition may be associated with the risk of vital nutrient (micronutrient) deficiency. The complaint chronic fatigue syndrome indicates a vital substance (micronutrient) deficiency for: Folic acid In the context of vital substance deficiencies (micronutrients), the following vital substances (macro- and micronutrients) are used for supportive therapy: … Chronic Fatigue Syndrome: Micronutrient Therapy
To prevent chronic fatigue syndrome (CFS; systemic stress intolerance disease), attention must be paid to reducing individual risk factors. Behavioral risk factors Drug use Heroin Opiates or opioids (alfentanil, apomorphine, buprenorphine, codeine, dihydrocodeine, fentanyl, hydromorphone, loperamide, morphine, methadone, nalbuphine, naloxone, naltrexone, oxycodone, pentazocine, pethidine, piritramide, remifentanil, sufentanil, tapentadol, tilidine, tramadol) Environmental pollution – intoxications (poisonings). … Chronic Fatigue Syndrome: Prevention
The following symptoms and complaints may indicate chronic fatigue syndrome (CFS; systemic exertion intolerance disorder (SEID)): Leading symptoms These symptoms appear suddenly in a previously active person: Fatigue Early exhaustibility Concentration problems Fatigue Associated symptoms Allergies (55%) Abdominal pain (abdominal pain) (40%) Thoracic pain (chest pain) (5%) Pressure painful lymph nodes (80%) Exanthema (skin rash) … Chronic Fatigue Syndrome: Symptoms, Complaints, Signs
Pathogenesis (disease development) The cause of chronic fatigue syndrome (CFS; systemic exertion intolerance disorder (SEID)) has not yet been determined.Several theories are discussed that may contribute to its development.Various environmental factors are also thought to be involved in the development of CFS, but proof has not yet been provided.In addition, various viruses such as Epstein-Barr … Chronic Fatigue Syndrome: Causes
General measures Nicotine restriction (refraining from tobacco use). Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day). Limited caffeine consumption (max 240 mg of caffeine per day; equivalent to 2 to 3 cups of coffee or 4 to 6 cups of green/black tea). Aim for normal weight!Determination … Chronic Fatigue Syndrome: Therapy
Blood, hematopoietic organs – immune system (D50-D90). Anemia (anemia) Endocrine, nutritional, and metabolic diseases (E00-E90). Adrenopause Hypoglycemia (low blood sugar) Hypothyroidism (hypothyroidism) Overweight (obesity) Factors influencing health status and leading to health care utilization (Z00-Z99). Burnout syndrome Infectious and parasitic diseases (A00-B99). Chronic bacterial infections, unspecified. Chronic candidiasis (fungal infection) Chronic viral infection, unspecified Mouth, … Chronic Fatigue Syndrome: Or something else? Differential Diagnosis
The following are the major diseases or complications that may be contributed to by chronic fatigue syndrome (CFS; systemic exertion intolerance disorder (SEID)): Factors affecting health status and leading to health care utilization (Z00-Z99). Suicide (suicide); chronic fatigue syndrome: 6.85 times as many fatal suicides Psyche – nervous system (F00-F99; G00-G99). Depression Insomnia (sleep disorders) … Chronic Fatigue Syndrome: Complications
Medical history (history of illness) represents an important component in the diagnosis of chronic fatigue syndrome (CFS; systemic exertion intolerance disorder (SEID)). Family history What is the general health status of your family members? Social history What is your profession? Are you exposed to harmful working substances in your profession? Is there any evidence of … Chronic Fatigue Syndrome: Medical History
