The Curbsiders Internal Medicine Podcast

#213 Fatigue for Primary Care with Nina Mingioni MD - A Common Sense Framework


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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
      ...more
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