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

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

The Curbsiders Internal Medicine Podcast