Chronic fatigue syndrome

Question 1

Diagnostic criterea of CFS

Answer 1

• persisting high levels of subjective fatigue leading to rapid physical or mental exertion
• broader and more neutral term than myalgic encaphalomyelitis (ME) or post-viral fatigue syndrome
• links with EBV, coxsackie B or Hep. B
• myalgia
• migratory arthalgia
• headache
• difficulty getting off to sleep
• poor concentration
• irritability
• +/- stomach pains, scalp tenderness, eye pain, photophobia, tener cervical lymphadenopathy
• depressive symptoms are common ?physical or psychological!
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Question 2

Management options in CF

Answer 2

• graded exercise therapy
• CBT
• antidepressant medication- fluoxetine (depression symptoms only- will not sure fatigue)