A 45 year old female presents with the chief complaint of fatigue.
What are the differential diagnoses?
Upon physical exam you note pallor of her nailbeds and tongue and mild tachycardia.
What is the most likely diagnosis? How can you confirm or deny your diagnosis? What is the treatment plan, include medications, lifestyle modifications, and follow up labs
Diagnosis of 45-Year Old Female Presenting with Chief Complaint of Fatigue
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Diagnosis of 45-Year Old Female Presenting with Chief Complaint of Fatigue
Fatigue is considered one of the common occurrences among children and young adults in the primary care setting. It is also reported that a higher prevalence of fatigue is observed among people aged 65 years and older (Stadje et al., 2016). Stern, Cifu and Altkorn (2010), point that the differential diagnosis of fatigue is broad and can be considered on the basis of organ approach. Among the differential diagnoses of fatigue include anxiety, stress, depression, insomnia, obstructive sleep apnea, narcolepsy, diabetes, thyroid disease, cancer, anemia, and chronic infectious diseases.
Based on physical examination that reveals pallor in the nail beds and tongue and mild tachycardia, it is possible that the patient suffers from iron deficiency form of anemia. The diagnosis of anemia is confirmed by many of the symptoms presented. Pallor in skin or nail beds is an indication of low hemoglobin in blood, which is responsible for anemia (Kalantri, Karambelkar, Joshi, Kalantri & Jajoo, 2010). In addition, tachycardia is indicative of high heart rate and indication that the heart is beating fast to fill with blood, possibly due to low blood count. The disease is summed by general complain of fatigue, which is indicative of reduced supply of oxygen in tissues to provide required energy. The treatment plan for anemia involves examining the patient history for any possible allergies towards ferrous sulphate. If the patient has no prior………………………………………………………………………………………………
A 45 year old female presents with the chief complaint of fatigue.
What are the differential diagnoses?
Upon physical exam you note pallor of her nailbeds and tongue and mild tachycardia.
What is the most likely diagnosis? How can you confirm or deny your diagnosis? What is the treatment plan, include medications, lifestyle modifications, and follow up labs
