Morning Fatigue Differential Diagnosis

Two thirds of adolescents report morning fatigue to the extent of impairing their waking more than once a week. Conditions in which fatigue may not necessarily be an initial complaint but is still regarded a. Fatigue is almost a normal part of adolescence.

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Morning fatigue differential diagnosis. Fatigue can be classified as secondary to other medical. Most common causes obstructive sleep apnea depression anxiety deconditioning drugs see below chronic fatigue syndrome fibromyalgia pregnancy anemia. Cardiopulmonary obstructive sleep apnea chf copd peripheral vascular disease atypical angina. Below are only some of the potential causes given as a framework when considering the individual patient s story.

Develop a differential diagnosis for fatigue in adolescents. The increase in fatigue between childhood and adolescence almost certainly reflects both the physiological demands of growth and dramatic increases in social and educational demands. For the purpose of this topic the differentials discussed concentrate on people presenting with fatigue or where fatigue is the only symptom. The differential diagnosis of fatigue is enormous.

This topic addresses the approach to the patient who presents with fatigue. On occasion fatigue is a symptom of other underlying conditions that require medical treatment. Excessive daytime sleepiness and muscle weakness are addressed elsewhere. Fatigue is a common nonspecific symptom with a broad range of etiologies including acute and chronic medical disorders psychological conditions medication toxicity and substance use.

Most of the time fatigue can be traced to one or more of your habits or routines particularly lack of exercise. Second year resident in the department of family medicine at the university of ottawa in ontario. After completing this article readers should be able to. Associate professor director of adolescent medicine department of pediatrics suny upstate medical university syracuse ny.

Describe the key elements of the history and physical examination in adolescents who are fatigued. Overexertion deconditioning puberty sleep insufficient deficit sleep disorders insomnia narcolepsy obstructive sleep apnea. Differential diagnosis of morning sickness differential diagnosis for morning sickness. It s also commonly related to depression.

The differential diagnosis of fatigue includes lifestyle issues physical conditions mental disorders and treatment side effects. Hyperemesis gravidarum occurs when there is severe persistent nausea and vomiting during pregnancy more extreme than morning sickness. Fatigue may be a symptom of almost any medical condition.