Chronic Fatigue: A Case Study

Lucci the patient had systemic lupus erythematosis, his silver eyebrows pointed to heaven, and he broke out into a big smile. When he asked me to explain why the patient had lupus, I named the fourteen manifestations of lupus and told Dr. Lucci the diagnosis of lupus was contingent on a patient's having at least four of the fourteen manifestations. His patient did indeed have five of the fourteen manifestations: non-deforming arthritis, Raynaud's phenomenon, in which the hands exhibit a two-phase color change when placed in cold water, alopecia or hair loss, oral ulcerations, and what appeared on the chest X-ray to be a pericardial effusion which suggested pericarditis.

A woman comes into the hospital complaining of extreme fatigue that does not go away with rest, she has a fever over 100 degrees Fahrenheit and she has some skin sores and rashes, almost in a butterfly-shaped pattern across her cheeks and nose. After blood and urine tests, the signs and symptoms and physical examination findings leads to the diagnosis of lupus.

Let alone the cause of this horrible disease. One of the most commonly suspected reasons for systemic lupus erythemotosus (SLE) is a very low iron count. Low iron has a veriaty of effects on the body including the feeling of being cold, low blood count (anemia), and impaired immune defiecency, ect.. Thus the low iron syptom seems to add up with lupus making doctor think that low iron can have a leading from in the disease.

Chweyah, dated 08/11/2017, indicated that the claimant presented for a follow-up visit after his discharge from the hospital on 08/08/2017. He was admitted on 08/04/2017 due to normocytic anemia, pain in both knees, starvation ketoacidosis, hypertension, gout with tophus, and duodenitis. The esophagogastroduodenoscopy revealed erythematous duodenopathy, erythematous mucosa in the antrum, and small hiatal hernia. He had a colonoscopy which revealed internal hemorrhoids. Objective findings showed blood pressure of 112/86 with a pulse of 105. He was diagnosed with quadriceps weakness, pain in both knees, normocytic anemia, type 2 diabetes mellitus, hypertension, stable chronic kidney disease stage III, and bilateral impacted cerumen. It was noted that he can return to work on 08/16/2017 with limitations of not standing for more than 10 minutes at a time for 1

People should be punished for not taking action in a life and death situation. In the article the author, Jay Sterling Silver, believes that civil liability should be established for everyone everywhere. I somewhat agree with his point because it’s the right thing to do but that’s not always the case. During a life and death situation people tend to panic and when they do they start to lose control because they are torn between taking action or calling 911 but it might be too late for that. People will act without precaution in an emergency or some will not act at all because they’re scared they might make the situation worse than what it is.

Patient is presented to the ER with her mother after having been referred by her pediatrician. Mother complains nine month old patient is exhibiting symptoms she herself had been experiencing over the last year and a half or so. Mother and daughter share symptoms of intermittent fevers, swollen lymph nodes, weight loss/inability to gain weight, extreme fatigue with nocturnal wakefulness. The mother said she also experienced some muscle pain, confusion at times and possible personality changes. The mother told the ER doctor she attributed her symptoms to pregnancy but they continued after giving birth. They started off very mild but have been becoming more severe over the last year. During physical examination patient states having

Chronic fatigue is the first symptoms when it comes to this disease. When you have chronic fatigue you will experience an extreme tiredness that cannot be explained. You will find it harder to do the things that you used to do with ease and you may want to sleep all the time.

This is an 82-year-old gentleman, who was referred from Dr. Gretchen Marsh’s office because the patient’s BUN and creatinine were high, as he has acute kidney injury. The patient went to Dr. Marsh’s office yesterday and was having generalized weakness. He does not have any vomiting. No diarrhea. No fever. No cough with expectoration. No sharpness. No wheezing. No headache. No dizziness. No passing out. No rectal bleeding. No hematemesis. No abdominal pain. No sore throat. No stuffy nose. No cough with expectoration. No burning, frequency, or

Like lightning or tiger stripes, no two diagnoses of Systemic Lupus Erythematosus are exactly alike. Some signs and symptoms might be mild, while others could be more severe, occurring suddenly or possibly developing slowly over time1. Cases of SLE could be a permanent fixture in an individual’s life, or could be temporary, decreasing in occurrence or symptoms in women during and after menopause1. Fatigue is one of the more common signs and symptoms in close to 80% of the cases reported, which in turn leads to decreased physical activity and subsequently a lessened ability to execute activities of daily living because of the decline of isometric strenght2,4. Because of the fatigue and having “lower dynamic muscle strength”, impeded career opportunities, a lessened quality of life, and capabilities of a low functional performance, many patients find

I never thought I'd be the type of person to go to university as I never found a course that made me excited to learn until now. When I finished year 12 I had no clue as to what I wanted to do with my life and certainly never dreamed of being 24 and looking at the VTAC guide. But now I'm at the point of my life where my everyday interests are what I would like to make a career out of, and unfortunately I cannot pursue them without a bachelor degree.

“The usual clinical manifestation of heart failure is left ventricular dysfunction that occurs after some index event, such as myocardial infarction” (Chapa et al., 2014, p. 16). With the aging adults, like S.P., we have to be concern when they have presenting signs of heart failure, especially if they have not been diagnosed with one. Questions I may have to ask S.P. are what time of the day her fatigue and swollen ankles are worse. This is to determine if her fatigue and edema are cardiac related. Cardiac related fatigue is “worse in the evening, whereas fatigue from anxiety or depression occurs all day or is worse in the evening” (Jarvis, 2016, p. 472). Does her fatigue is accompanied with shortness of breath on exertion? Patient education

Any stressful condition can cause temporary fatigue but frequent occurrences of this condition or after minor physical effort need attention and treatment and herbal remedy for physical and mental fatigue, tiredness or lack of energy are safe and effective ways to treat it. Physical fatigue is different than mental fatigue, physical fatigue is also called as muscular fatigue because a person is unable to exert enough force necessary to perform a task due to lack of energy in the muscles involved, whereas mental fatigue does not involves any muscle but manifests itself as somnolence or decrease in attention.

Regular consumption of water is something that has always been echoed by medical practitioners. It is just a pity that most people do not heed to professional advice. Instead, they opt to consume less or no water. All medical studies indicate that water is very vital for any human and that is why it must be consumed regularly. It is recommended that you take at least 8 liters of water in a day.

An important aspect which undoubtedly influences spirituality as a dimension of QoL of patients is fatigue (factor 1 and 4). Many OA and RA patients participate in religious activities such as prayer and are influenced by beliefs. According to the perceptions of patients faith and participation in religious activities can be helpful in reducing levels of perceived fatigue , pain, and improving quality of life. Baets & Bowen et al exploring the role of spirituality in chronic conditions and fatigue found that spirituality is associated with better psychological well-being.Bartlett et al note that RA patients who view their life from a different perspective through spirituality, can experience better well-being. In our study, a major risk factor associated with fatigue was the duration of sleep.

History of Present Illness: Mr. A. O. a 66 year-old-African American male came in the clinic for a monthly routine follow up visit complaining of severe cluster frontal headaches that radiates to his left eye, pain level eight out of ten, on and off for three days lasting for 30 to 45 minutes. He stated that he takes Tylenol 1000mg orally every eight hours with mild relieve, and will like his blood pressure medications increased. Also, he complained of edema to the upper and lower extremities, and right hand pain when he tries to make a fist. However, he denied shortness of breath,