Rheumatology Book

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FatigueAka: Asthenia

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  1. See Also
    1. Fatigue in Cancer
  2. Definitions
    1. Fatigue
      1. Unable to perform activity repeatedly
    2. Asthenia
      1. Physical exhaustion without weakness
  3. Symptoms
    1. Frequent presentations
      1. "I can't get out of bed in the morning"
      2. "I'm feeling 'all in'"
      3. "I'm tired all the time"
    2. Lack of pep or energy
      1. Usually complaint of "always tired"
      2. However on careful questioning, varies throughout day
    3. Low vitality
    4. Persistent Exhaustion or tiredness
    5. Strongly desire rest or sleep
    6. Associated symptoms
      1. Subjectively weak
      2. Headache
      3. Assorted pain
  4. Factors suggestive of psychogenic cause
    1. Fatigue lasting longer than 4 months
      1. No associated signs or symptoms
    2. Fatigue that is worse in morning
      1. Improves with activity
    3. Fluctuating course
    4. Stressful social history
    5. Exhaustive lifestyle
    6. History of psychological condition
  5. Signs
    1. General physical exam
      1. Exclude Organic Fatigue Causes including neoplasm
    2. Careful Neurologic Exam
  6. Red Flags suggestive of organic or physical cause
    1. Fatigue relieved with rest or sleep
      1. Refreshed in morning
      2. Less than ordinary activity causes fatigue
    2. Ill appearing, tired or worn patient
  7. Labs
    1. See Fatigue Diagnostic Testing
  8. Course
    1. Fatigue may persist for >1 year in 50% of patients
  9. References
    1. Goroll (2000) Primary Care Medicine, Lippincott, p. 41
    2. Lipken in Dornbrand (1992) Ambulatory Care, p. 5-8
    3. Morrison (2001) Obstet Gynecol Clin North Am 28:225
    4. Valdini (1988) J Fam Pract 26:33

Asthenia (C0004093)

Definition (MSH)Clinical sign or symptom manifested as debility, or lack or loss of strength and energy.
Definition (NCI)Weakness; lack of energy and strength.
ConceptsSign or Symptom (T184)
ICD9780.79
EnglishAsthenia, Asthenias, Debility, Feeling weak, General weakness, Generalized weakness, Lassitude, STRENGTH LOSS OF, Weakness, WEAKNESS GENERALIZED
Spanishabatimiento, astenia, debilidad, debilidad general, desgano
CreditsDerived from the NIH UMLS (Unified Medical Language System)



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