<p>Listen as our esteemed guest Dr. Nina Mingioni (<a href="https://hospitals.jefferson.edu/find-a-doctor/m/mingioni-nina.html">Jefferson</a>) walks us through her approach to fatigue, from differential diagnosis, to the evidence behind physical exam, laboratory workup, and beyond!</p> <p><a href="https://thecurbsiders.com/episode-list">Show Notes</a> | <a href="https://open.spotify.com/show/3SKlzOLxyztvA1BkJfnf67">Spotify</a> | <a href="https://www.teepublic.com/user/kashlakmemorial">Swag!</a> | <a href="https://thecurbsiders.com/top-picks">Top Picks</a> | <a href="https://thecurbsiders.com/knowledgefood">Mailing List</a> | <a href="mailto:[email protected]">[email protected]</a> | <a href="http://curbsiders.vcuhealth.org/">Free CME!</a></p> <h3><br> </h3> <h3><strong>Credits</strong></h3> <ul> <li>Writer, Producer, Infographic, and Cover Art: Hannah R. Abrams<br> </li> <li>Hosts: Hannah R Abrams, Matthew Watto MD, FACP; Paul Williams MD, FACP<br> </li> <li>Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of <a href="https://www.nodderly.com/">nodderly.com<br> </a> </li> <li>Guest: Nina Mingioni MD, FACP</li> </ul> <h3><br> </h3> <h3><strong>Sponsor: VCU Health CE</strong></h3> <h3><br> </h3> <h3><strong>Time Stamps</strong></h3> <ul> <li> <strong>00:00</strong> Intro, disclaimer, guest bio and a bad pun<br> </li> <li> <strong>03:00</strong> Guest one-liner<br> </li> <li> <strong>07:10</strong> Case from Kashlak, Defining fatigue; Taking a general history<br> </li> <li> <strong>11:36</strong> Most common causes of fatigue and how to elicit them from the history<br> </li> <li> <strong>20:39</strong> Physical exam for fatigue; Medications that cause fatigue;<br> </li> <li> <strong>25:25</strong> Exam findings and LRs for anemia; Sleep apnea<br> </li> <li> <strong>30:55</strong> Lab workup for fatigue; Expanded testing: Ferritin, Vitamins, EBV, Rheumatologic diseases, Celiac disease, Lyme<br> </li> <li> <strong>47:55</strong> Spiel to the patient when no answer is found<br> </li> <li> <strong>51:14</strong> Other diagnoses to consider: Fibromyalgia, Myalgic Encephalomyelitis</li> <li> <strong>55:09 </strong>Take home points and Outro</li> </ul>