Chronic fatigue syndrome

Data gathering

  • 4 months new onset fatigue, post exertional malaise, flu-like


Clinical management

  • Explanation
    • CFS results in long term disabling tiredness. Can also cause problems with sleep, muscle aches, headaches. Cause it not known but may be caused by a viral infection. No tests to diagnose it and no specific cure
  • Treatment
    • Lifestyle
    • Sleep hygiene
    • Diet
  • Refer
    • Physiotherapy – gradual increase in exercise
    • CBT
    • Occupational health – better to make adjustments to work rather than stop completely
    • Rheumatology – if within 6 months
  • Medications
    • Low dose TCA – sleep/pain
  • Follow-up / Safety net