#213 Fatigue for Primary Care with Nina Mingioni MD - A Common Sense Framework
May 11, 2020, 07:00 AM
Listen as our esteemed guest Dr. Nina Mingioni (Jefferson) walks us through her approach to fatigue, from differential diagnosis, to the evidence behind physical exam, laboratory workup, and beyond!
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Credits
- Writer, Producer, Infographic, and Cover Art: Hannah R. Abrams
- Hosts: Hannah R Abrams, Matthew Watto MD, FACP; Paul Williams MD, FACP
- Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com
- Guest: Nina Mingioni MD, FACP
Sponsor: VCU Health CE
Time Stamps
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00:00 Intro, disclaimer, guest bio and a bad pun
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03:00 Guest one-liner
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07:10 Case from Kashlak, Defining fatigue; Taking a general history
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11:36 Most common causes of fatigue and how to elicit them from the history
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20:39 Physical exam for fatigue; Medications that cause fatigue;
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25:25 Exam findings and LRs for anemia; Sleep apnea
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30:55 Lab workup for fatigue; Expanded testing: Ferritin, Vitamins, EBV, Rheumatologic diseases, Celiac disease, Lyme
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47:55 Spiel to the patient when no answer is found
- 51:14 Other diagnoses to consider: Fibromyalgia, Myalgic Encephalomyelitis
- 55:09 Take home points and Outro