Poor little girl wants your help

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Poor little girl wants your help

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4 Posts

Tamagochi
Forum Newbie

Topics: 1
Posts: 2

07/01/03 - 10:53 PM

A 4 y.o. girl who is excessively tired comes home from pre-school and always wants to lie down. She has been observed by teachers to be "tired" in class. Physical exam is normal. Workup for immune deficiency and thyroid disorder yielded no information. Can this be caused by ... what do you think folks?

doctor2b

08/19/03 - 01:08 AM

anaemia or some muscular dystrophy..........

drnut

10/28/03 - 07:48 AM

Could be Chronic Fatigue Syndrome:

The most recent CDC diagnostic criteria (Fukuda, 1994) state,

"In order to receive a diagnosis of chronic fatigue syndrome, a patient must satisfy two criteria: 1) Have severe chronic fatigue of six months or longer duration with other known medical conditions excluded by clinical diagnosis; and 2) concurrently have four or more of the following symptoms: substantial impairment in short-term memory or concentration; sore throat; tender lymph nodes; muscle pain; multi-joint pain without swelling or redness; headaches of a new type, pattern or severity; unrefreshing sleep; and post-exertional malaise lasting more than 24 hours. The symptoms must have persisted or recurred during six or more consecutive months of illness and must not have predated the fatigue.

bbb
IM Program Coordinator
avatar

Topics: 33
Posts: 5,098

10/28/03 - 08:48 AM

So who will write me a doctors note?

I have

1) Have severe chronic fatigue of six months or longer duration with other known medical conditions excluded by clinical diagnosis;

and

sore throat; muscle pain; multi-joint pain without swelling or redness; headaches of a new type, pattern or severity; unrefreshing sleep; and post-exertional malaise lasting more than 24 hours.

Do you think that my program director will believe me??? sad

___________________
bbb - trying to combine common sense and humour into realistic answers, but not going to guess on anyone's chances of getting into a position....

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