10000 results
Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
Fatigue and IBD ... patients have fatigue ... despite clinical ... 20% w/ improved fatigue ... IBD #Algorithm #diagnosis
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... performed) • Clinical ... Cardiovascular MRI Clinical ... • Excessive fatigue ... #Myocarditis #Diagnosis
Complications of Measles: Pathogenesis and Clinical Findings
 • ADEM -> Fever, headache, neck stiffness, BBD, mental
Pathogenesis and Clinical ... -> Cough, SOB, fatigue ... Complications #diagnosis
Sarcoidosis 
Non-caseating granulomas (Composed of T-helper & inflammatory cells) 
Clinical:
 • Disease fatal in 10% of
inflammatory cells) Clinical ... Constitutional: Fever, fatigue ... #Sarcoidosis #Diagnosis
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential Diagnosis ... Algorithm Clinical ... suspicion: Weakness, fatigue ... #Differential #Diagnosis
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Insufficiency Diagnosis ... Algorithm Clinical ... anorexia, Weakness, fatigue ... eosinophilia Diagnostic ... Insufficiency #Diagnosis
Graves Disease - Autoimmune Hyperthyroidism
Epidemiology: Most common cause of hyperthyroidism, Incidence peaks at 30-50
Diagnosis: 
1 )
peaks at 30-50 Diagnosis ... Clinical Presentation ... Hyperthyroidism: Fatigue ... Hyperthyroidism #diagnosis
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... myocarditis Clinical ... Rash, Myalgias, Fatigue ... #Myocarditis #diagnosis
Lyme Disease: Early and Late Clinical manifestations
Stage 1. Localized
 • EM appears 7-14 days at the
Early and Late Clinical ... Ixodes bite • Fatigue ... Lyme #Disease #diagnosis
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
presented with fatigue ... evaluation confirmed a diagnosis ... Reflexes #Delayed #Clinical