#213 Fatigue for Primary Care with Nina Mingioni MD - A Common Sense Framework The Curbsiders Internal Medicine Podcast

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



00:00 Intro, disclaimer, guest bio and a bad pun



03:00 Guest one-liner



07:10 Case from Kashlak, Defining fatigue; Taking a general history



11:36 Most common causes of fatigue and how to elicit them from the history



20:39 Physical exam for fatigue; Medications that cause fatigue;



25:25 Exam findings and LRs for anemia; Sleep apnea



30:55 Lab workup for fatigue; Expanded testing: Ferritin, Vitamins, EBV, Rheumatologic diseases, Celiac disease, Lyme



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