Classification of Chronic Fatigue Patients
Classification of Chronic Fatigue Patients - Flowchart Fatigue & Systemic Exertion Intolerance Disease (Chronic Fatigue Syndrome) Fatigue & Systemic Exertion Intolerance Disease (Chronic Fatigue Syndrome)
«Flowchart»

Symptoms of prolonged or chronic fatigue

Symptoms of prolonged or chronic fatigue

Symptoms of prolonged or chronic fatigue

End

End

End

Chronic Fatigue Syndrome

Criteria for severity of fatigue are met AND four or more of the following symptoms are concurrently present for >6 months:


Pharyngitis
Tender cervical or axillary lymph nodes
Myalgias
Polyarthralgia
New headaches
Sleep that patient reports as unrefreshing
Postexertion malaise
Memory or concentration impairment

Chronic Fatigue Syndrome

Criteria for severity of fatigue are met AND four or more of the following symptoms are concurrently present for >6 months:


Pharyngitis
Tender cervical or axillary lymph nodes
Myalgias
Polyarthralgia
New headaches
Sleep that patient reports as unrefreshing
Postexertion malaise
Memory or concentration impairment

Chronic Fatigue Syndrome

Chronic Fatigue Syndrome

Criteria for severity of fatigue are met AND four or more of the following symptoms are concurrently present for >6 months:


Pharyngitis
Tender cervical or axillary lymph nodes
Myalgias
Polyarthralgia
New headaches
Sleep that patient reports as unrefreshing
Postexertion malaise
Memory or concentration impairment


Pharyngitis
Tender cervical or axillary lymph nodes
Myalgias
Polyarthralgia
New headaches
Sleep that patient reports as unrefreshing
Postexertion malaise
Memory or concentration impairment

Idiopathic Chronic Fatigue

Criteria for fatigue severity or symptoms of chronic fatigue syndrome are NOT met

Idiopathic Chronic Fatigue

Criteria for fatigue severity or symptoms of chronic fatigue syndrome are NOT met

Idiopathic Chronic Fatigue

Idiopathic Chronic Fatigue

Criteria for fatigue severity or symptoms of chronic fatigue syndrome are NOT met

History and physical examination

History and physical examination

History and physical examination

Mental status examination

Mental status examination

Mental status examination

If abnormal (findings of infection, neoplasm, or thyroid disease), pursue appropriate diagnostic tests

If abnormal (findings of infection, neoplasm, or thyroid disease), pursue appropriate diagnostic tests

If abnormal

Laboratory testing (CBC, ESR, serum electrolytes, glucose, BUN, creatinine, alkaline phosphatase, ALT, Ca2+ , PO43– , total protein, globulin, albumin, TSH, and UA)

Laboratory testing (CBC, ESR, serum electrolytes, glucose, BUN, creatinine, alkaline phosphatase, ALT, Ca2+ , PO43– , total protein, globulin, albumin, TSH, and UA)

2+ 4 3– Laboratory testing

If abnormal, evaluate with psychiatric or neurologic examination

If abnormal, evaluate with psychiatric or neurologic examination

If abnormal, evaluate with psychiatric or neurologic examination

If fatigue persists or relapses for 6 months, diagnose either chronic fatigue syndrome or idiopathic chronic fatigue, accordingly

If fatigue persists or relapses for 6 months, diagnose either chronic fatigue syndrome or idiopathic chronic fatigue, accordingly

If fatigue persists or relapses

If abnormal, pursue appropriate further diagnostic evaluation

If abnormal, pursue appropriate further diagnostic evaluation

If abnormal, pursue appropriate further diagnostic evaluation