dc.contributor.author | Ebell, Mark H. | eng |
dc.date.issued | 2001 | eng |
dc.description.abstract | Half of all patients presenting with fatigue have a psychological cause. Patients with a history of anxiety or depression or those with a duration of symptoms for more than 3 months are more likely to remain symptomatic 6 months later. Physicians should perform a physical examination, take a thorough history, and screen patients for depression using a validated primary care instrument, such as the Beck Depression Inventory or Prime-MD. Physicians may also consider a directed laboratory evaluation with sedimentation rate, blood count, and glycohemoglobin and thyroid stimulating hormone (TSH) levels, particularly in older patients. Grade of Recommendation: C, based on case series and expert opinion | eng |
dc.identifier.uri | http://hdl.handle.net/10355/2827 | eng |
dc.language | English | eng |
dc.publisher | Family Physicians Inquiries Network | eng |
dc.relation.ispartofcollection | Clinical Inquiries, 2001 (MU) | eng |
dc.relation.ispartofcommunity | University of Missouri--Columbia. School of Medicine. Department of Family and Community Medicine. Family Physicians Inquiries Network | eng |
dc.relation.ispartofseries | Journal of family practice, 50, no. 01 (January 2001) | eng |
dc.rights | OpenAccess. | eng |
dc.rights.license | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License. | eng |
dc.subject | psychological factors | eng |
dc.subject | laboratory evaluation | eng |
dc.subject.lcsh | Fatigue -- Psychological aspects. | eng |
dc.subject.lcsh | Hypothyroidism | eng |
dc.subject.lcsh | Anemia | eng |
dc.title | What is a reasonable initial approach to the patient with fatigue? | eng |
dc.type | Article | eng |