Volume 21 Issue 4
Apr.  2023
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ZHU Jiahong, LIU Ying, REN Jingjing. Diagnosis and treatment of medically unspecified disease manifested by fatigue: A general practice perspective[J]. Chinese Journal of General Practice, 2023, 21(4): 539-543. doi: 10.16766/j.cnki.issn.1674-4152.002926
Citation: ZHU Jiahong, LIU Ying, REN Jingjing. Diagnosis and treatment of medically unspecified disease manifested by fatigue: A general practice perspective[J]. Chinese Journal of General Practice, 2023, 21(4): 539-543. doi: 10.16766/j.cnki.issn.1674-4152.002926

Diagnosis and treatment of medically unspecified disease manifested by fatigue: A general practice perspective

doi: 10.16766/j.cnki.issn.1674-4152.002926
Funds:

 72274169

  • Received Date: 2022-11-07
    Available Online: 2023-05-31
  • Fatigue is a main reason for 10%-20% of all consultations with the general outpatient service. A survey showed that fatigue was the most common complaint among patients with medically unspecified diseases in offline general practice clinics in general hospitals. Also, a study found that fatigue could have a significant impact on patients' quality of life, and its severity was associated with mortality. As a common medically unspecified diseases, fatigue has no obvious specificity. It can not only be a normal physiological reaction of the human body, but also can be one of the manifestations of various diseases. Fatigue can be divided into physiological fatigue and pathological fatigue. Its etiology can be various and involve every system. It is difficult to evaluate and treat medically unspecified disease characterized by fatigue. Because of the subjective feeling, it is hard for general practitioners to evaluate the degree of fatigue. In addition to detailed history and physical examination, general practitioners need to objectively assess the degree of fatigue by using some assessment scales. However, there is no assessment scale for medically unspecified disease characterized by fatigue. The management of patients with medically unspecified disease characterized by fatigue includes symptomatic treatment (both non-pharmacological and pharmacological) and long-term follow-up to alleviate symptoms, relieve mood and reduce impairment in daily functioning. Further research is needed on how to provide a continuum of services for patients with fatigue, help some patients to live with their symptoms, and find effective interventions and treatments. We reviewed the literature on the general diagnosis and treatment of medically unspecified disease manifested by fatigue, hoping to help general practitioners with standardized diagnosis and continued management of the patient with fatigue.

     

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