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

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 11 May 2020

⏱️ 58 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

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!

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

Transcript

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0:00.0	The Curbsiders podcast is for entertainment, education, and information purposes only,
0:07.8	and the topics discussed should not be used solely at Diagnostry, cure, or prevent any
0:10.4	diseases or conditions.
0:11.4	For the more the views and statements expressed on the podcast are solely those of those,
0:13.2	and should not be interpreted to reflect the official policy or position of any entity
0:15.4	that's either on possibly, cash like Morah Hospital, and affiliate outreach programs.
0:17.6	If indeed, there are any, in fact, there are none.
0:19.6	Pretty much we aren't responsible if you screw up, you should always do your own homework
0:21.4	and let us know when we're wrong.
0:31.0	Paul, yet another show in the can.
0:35.4	This was fantastic.
0:37.3	With us tonight, Stuart is not here, but with us is the great Hannah R. Abrams.
0:41.4	Hi, Hannah, how are you?
0:42.4	Oh, I'm doing great.
0:43.6	How are you doing?
0:44.8	Good.
0:45.8	By the time this comes out, you might even be Dr. Hannah R. Abrams.
0:49.8	What do you think?
0:50.8	It is possible.
0:51.8	It is possible.
0:52.8	Depending on how quickly we do the show notes, but yeah.
0:56.0	Okay.
	...

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