Chronic Fatigue Syndrome

Question 1

4 risk factors for chronic fatigue syndrome (CFS)

Answer 1

• Female>male
• Significant physical or emotional trauma
• Acute or chronic infection
• environmental toxins

common in rheumatologic disorders

Question 2

CFS is caused by

Answer 2

immune response

associated with circadian dysfunction

Question 3

What is physiologic fatigue

Answer 3

a type of fatigue that occurs when extraordinatry demands are put on an otherwise healthy person

like peripartum, poor sleep hygiene, personal/work stress

Question 4

What must the patient have to be dx’d with CFS

4

Answer 4

• impariment of pre-illness ADLs for 6 months accompanied by fatigue
• post exertional malaise
• un-refreshing sleep
• (cog impairment or orthostatic intolerance) <– must have one or the other

Question 5

What is orthostatic intolerance

Answer 5

othostatic hypotension
dizzy when standing up

Question 6

Important to test for what in people suspected of having CFS

Answer 6

CBC - anemia
Urinalysis - protein/infection
TSH- thyroid issues
Chemistry/liver/lytes/kidneys

Question 7

Top 4 ddx/ causes of fatigue

Answer 7

anemia
malignancy
somatic diseases
psychiatric illness

Question 8

Primary treatment CFS

Answer 8

underlying causes
restorative sleep
wellness behaviours

plus pharmacotherpy depending on worst s/s