Determining the Cause

Chief Complaint: Fatigue

A. History: Acute Onset (hours to days)

Differential Diagnosis

Infections (e.g., influenza, COVID-19, mononucleosis), Acute illness or inflammation (e.g., viral hepatitis), Medications or drug withdrawal, Acute anemia (e.g., from blood loss), Psychological stress or trauma, Acute heart failure or cardiac ischemia

Pivotal Assessment Finding

Further History

 

 

Determining the cause of fatigue involves a careful assessment of multiple potential factors. Fatigue can be broadly classified into physiological, psychological, and medical causes. Here's a systematic approach:


1. History

Ask about:

  • Onset and duration (sudden vs gradual, chronic vs acute)

  • Sleep quality (e.g., insomnia, sleep apnea)

  • Activity level (overexertion, sedentary lifestyle)

  • Diet and hydration

  • Stress, anxiety, or depression

  • Medications (e.g., antihistamines, beta-blockers, statins)

  • Substance use (alcohol, caffeine, recreational drugs)

  • Recent infections or illnesses


2. Medical Conditions to Consider

Common causes include:

Endocrine/Metabolic

  • Hypothyroidism

  • Diabetes (especially if poorly controlled)

  • Adrenal insufficiency

  • Electrolyte imbalances

  • Anemia

Infectious

  • Mononucleosis

  • Hepatitis

  • HIV

  • Post-viral fatigue

Cardiopulmonary

  • Heart failure

  • Coronary artery disease

  • COPD or sleep apnea

Psychiatric

  • Depression

  • Anxiety

  • Chronic stress

  • Burnout

Other systemic

  • Chronic kidney disease

  • Liver disease

  • Malignancy

  • Chronic fatigue syndrome / Myalgic encephalomyelitis

  • Fibromyalgia


3. Physical Examination

Look for:

  • Pallor (anemia)

  • Thyroid enlargement or signs of hypothyroidism

  • Lymphadenopathy (infection or malignancy)

  • Signs of heart or lung disease

  • Neurological abnormalities


4. Laboratory Workup (Basic Initial Panel)

  • CBC (anemia, infection)

  • TSH and free T4 (thyroid function)

  • CMP (electrolytes, liver/kidney function, glucose)

  • HbA1c (diabetes control)

  • Vitamin B12, folate, and iron studies

  • ESR/CRP (inflammation)

  • Consider HIV, hepatitis serologies, sleep study if indicated


5. Lifestyle and Psychosocial Review

Evaluate:

  • Work/life balance

  • Relationship or caregiving stress

  • Recent life changes

  • Substance use


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Fatigue

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