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Is there weight loss? If there is weight loss, one must consider a neoplasm, endocrine disorders such as hyperthyroidism or diabetes mellitus, malnutrition or malabsorption, and chronic infectious diseases such as tuberculosis or subacute bacterial ... DIAGNOSTIC WORKUP
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Is there a history of drug, caffeine, or alcohol ingestion? The hangover headache is well known and should not present a problem in diagnosis. Caffeine withdrawal headaches are also common because of the large amount of caffeine consumed in coffee, ... DIAGNOSTIC WORKUP
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Fatigue is a very common, although nonspecific, presenting symptom that refers to the sensation of exhaustion during or after usual activities, or a feeling of inadequate energy to begin these activities. Fatigue is a difficult clinical complaint... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Headache is one of the most common primary care complaints. It may be an isolated or recurrent event; it may be idiopathic or secondary to an underlying structural lesion; or it may simply require an analgesic for pain relief or a complete and detailed workup for its source. One must... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Complaints of fatigue indicate a general state of decreased endurance for, or interest in, activities. It is typically associated with tiredness and sleepiness. Depression as a cause of fatigue in adolescents frequently goes undiagnosed.
Differential Diagnosis ... Workup and Diagnosis ... Treatment
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By age 7, 40% of children will have experienced headaches. By age 15, this figure rises to 75%. Headache can be the presenting symptom of a neurologic emergency such as subarachnoid hemorrhage, or of a chronic and common disease such as migraine. The pattern of onset, duration, and... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... This symptom is best analyzed by using anatomy, as seen in Tables 32 and 33 , but differentiation by pathophysiology is interesting, particularly in muscle traction headaches and migraines.
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... The analysis of the causes of weakness depends on a knowledge of both anatomy and biochemistry. Strength depends on an intact healthy muscle, peripheral nerve, and lower and upper motor neuron pathways and a functioning myoneural junction. Thus, general weakness may develop in
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... Fatigue is a feeling of excessive tiredness, a lack of energy, or exhaustion accompanied by a strong desire to rest or sleep. This common symptom is distinct from weakness, which involves the muscles, but may occur with it.
Fatigue is a normal and... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
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... The most common neurologic symptom, headaches may be localized or generalized, producing mild to severe pain About 90% of all headaches are benign and can be described as vascular, muscle-contraction, or a combination of both. (See Clinical... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... Muscle contraction (tension)
Migraine
Cluster (histamine) headache
Nonmigrainous vascular causes
Effort (physical activity)
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... The most common patient complaint, headache usually occurs as a symptom of an underlying disorder. Ninety percent of all headaches are vascular, muscle contraction, or a combination; 10% are due to underlying intracranial, systemic, or psychological disorders. Migraine headaches,... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Sometimes called chronic Epstein-Barr virus, or myalgic encephalomyelitis, chronic fatigue and immune dysfunction syndrome is typically marked by debilitating fatigue, neurologic abnormalities, and persistent symptoms that... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... The environment contains thousands of pathogenic microorganisms — viruses, bacteria, fungi, and parasites. Ordinarily, we protect ourselves from infectious organisms and other harmful invaders through an elaborate network of safeguards... Host defense system ... Antigens ... B lymphocytes ... T lymphocytes ... Macrophages ... Cytokines ... Complement system ... Polymorphonuclear leukocytes ... Immune disorders ... Hypersensitivity disorders ... Type I hypersensitivity (allergic disorders)
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... Fatigue is a feeling of excessive tiredness, lack of energy, or exhaustion accompanied by a strong desire to rest or sleep. This common symptom is distinct from weakness, which involves the muscles, but may accompany it.
Fatigue is a normal and important response... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling
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... The most common neurologic symptom, headaches may be localized or generalized, producing mild to severe pain. About 90% of all headaches are benign and can be described as vascular, muscle-contraction, or a combination of both. (See Comparing benign headaches, page 390.)... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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... Meg Hayes
Fatigue is both a normal human response as well as a symptom of physical or psychological disease. It is a subjective sensation that is multicausal and nonspecific for which no one definition is universally accepted, nor can it be quantified or... Approach ... History ... Physical examination ... Testing. ... Diagnostic assessment
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... Robert B. Taylor
Headache is one of the 20 most frequent reasons patients visit primary care providers in the United States. Migraine headache, one of the common causes of recurrent headache, occurred one or more times yearly in 17.6% of females and in 5... Approach. ... History ... Physical examination ... Testing ... Pictures
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... Differential Overview
❑ Infectious mononucleosis
❑ Depression
❑ Diabetes
❑ Hypothyroidism
&... Diagnostic Approach ... Clinical Findings
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... Differential Overview
❑ Migraine
❑ Tension
❑ Acute sinusitis
❑ Acute glaucoma
❑ ... Diagnostic Approach ... Clinical Findings ... Pictures
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... The most common patient complaint, headache usually occurs as a symptom of an underlying disorder. Ninety percent of all headaches are vascular, muscle contraction, or a combination; 10% are due to underlying intracranial, systemic, or psychological disorders.... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Chronic fatigue and immune dysfunction syndrome (CFIDS) — also known as chronic fatigue syndrome, chronic Epstein-Barr virus [EBV], benign myalgic encephalomyelitis, and “Yuppie flu” — is typically marked by debilitating fatigue, neurologic... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Fatigue is a feeling of excessive tiredness, lack of energy, or exhaustion accompanied by a strong desire to rest or sleep. This common symptom is distinct from weakness, which involves the muscles, but may occur with it.
... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... The most common neurologic symptom, headaches may be localized or generalized, producing mild to severe pain. About 90% of all headaches are benign and can be described as vascular, muscle-contraction, or a combination of both. (See Comparing benign headaches.) Occasionally,
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...Defined as lack of energy for activitiesand decreased endurance for them. Principal Causes of Fatigue Physiologiccauses Pathologic causes Anemia Infection Chronic disease Allergic disease ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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...In most children, headache is not due toa serious cause. Diagnostic dilemma is to determine which childrenhave serious underlying pathology. Principal Causes of Headache Tension-typeheadache Vascular headache Migraineheadache Migrainewith aura ... Clinical Features and Diagnosis ... Table 25.1. Anatomic Location of Common Intracranial Neoplasms ... Diagnostic Approach ... References
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... Fatigue is a feeling of excessive tiredness, a lack of energy, or exhaustion accompanied by a strong desire to rest or sleep. This common symptom is distinct from weakness, which involves the muscles, but may occur with it.
Fatigue is a normal and... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... The most common neurologic symptom, headaches may be localized or generalized, producing mild to severe pain. About 90% of headaches are benign and can be described as vascular, muscle-contraction, or a combination of both. (See Clinical features of headache, page 298.) Occasionally,... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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The analysis of the causes of weakness depends on a knowledge of both
anatomy and biochemistry. Strength depends on an intact
healthy muscle, peripheral nerve, and lower and upper motor neuron pathways
and a functioning myoneural junction. Thus,... Pictures
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... Author:
Johann Peterson, MD
What to Do - Interpret the Data
Petechiae are nonblanching, usually red, macules <1 mm in diameter. They
are a form of purpura, which as a general term refers to rashes caused by the
extravasation of red blood>... Suggested Readings
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Although MS has visible manifestations, many of its symptoms are not outwardly apparent. This is the "invisible" side of MS, which means that in many...
Women and their doctors sometimes have different perspectives on the treatment for breast cancer. Listen to experts discuss treatment goals and the...
Doctors and healthcare officials are preparing for the possibility that a virulent strain of avian flu may become a serious threat to humans.
Most of us are familiar with the symptoms of the flu—fever, chills, fatigue, stuffy nose, sore throat. Most of us know that it is caused by the...