Posted by Squiggles on March 5, 2007, at 10:21:36
In reply to Re: Is Chronic Fatigue Syndrome real?, posted by Squiggles on March 5, 2007, at 7:23:31
http://www.mja.com.au/public/guides/cfs/cfs2.html
(CLINICAL PRACTICAL GUIDELINES) - how to diagnose CFS:
exerpt:
2.1: What can a person with "fatigue" or "tiredness" be describing?
In most instances the symptoms of chronic fatigue syndrome can be distinguished from the closely related phenomena of somnolence, muscle weakness, neuromuscular fatigability, depressed mood or anhedonia.
Person describes:
Interpretation
*
Reduced muscle power at rest
*Difficulty walking or lifting weights
→ Muscle weakness (eg, myopathy; polymyositis)
*
Loss of muscle power over time with activity
→ Neuromuscular fatigability (eg, myasthenia gravis)
*
Physical and mental fatigue at rest
→ Central fatigue (eg, multiple sclerosis)
*
Lack of motivation to commence tasks
*Lack of pleasure from tasks undertaken
→ Anhedonia (eg, major depression)
*
Daytime sleepiness
*Short sleep latency
→ Somnolence (eg, sleep apnoea, narcolepsy)
*
Breathlessness at rest or on exercise
→ Dyspnoea → Weakness (eg, airflow limitation; cardiac failure; anaemia)
*
Muscle pain, joint pain
*Fever, malaise
→ Inflammation (eg, systemic lupus erythematosus) → Infection (eg, influenza)
How should fatigue be evaluated?CFS is distinguished from similar fatigue-related illnesses not only by carefully characterising the fatigue itself, but also by evaluating associated symptoms and signs. People with CFS also report:
*
unrefreshing sleep;
*myalgia:
*arthralgia;
*loss of concentration;
*memory impairment;
*irritable mood, and
*postexertional malaise (may be delayed).
--------------------------------------------------
CATATONIA (with no reference to Dr. Torrey's cats :-))Has anyone looked at this old motor retardation/depression state?
Sometimes old medical observations may deceive us. Once the
word has disappeared, the idea has disappeared.http://en.wikipedia.org/wiki/Catatonia
Squiggles
poster:Squiggles
thread:738170
URL: http://www.dr-bob.org/babble/health/20070227/msgs/738462.html