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what are the other names
myalgic encephalomyelitis
s/s
fatigue over 6 months, PEM, orthostatic intolerance, muscle weakness, muscle/joint pain, brain fog, headaches, sore throat, fever, fluctuating symtpoms
pathophysiology of chronic fatigue
dysregulation of nervous, immune, hormornal, autonomic
cognitive: decrease short memory, concentration, forgetfullness
CV: decrease of BP, HR, lighthead, dizzy
MSK: pain/weakness, joint pain with no swelling/redness,
energy/sleep: increase fatigue, PEM
pulmonary: SOB
diagnosis
chronic fatigue over 6 months
significant impact on daily activites and work
4 of these s/s: PEM, non-restorative sleep, impaired memory/concentration, muscle or joint pain, HA, tender lymph nodes, recurrent sore throat