II. Indications
- Fatigue Evaluation
- Chronic Fatigue Syndrome Evaluation
III. Evaluation: Clinic and home monitoring
- Serial weights
- Serial AM and PM Body Temperatures
IV. Labs: Reasonable directed screening for Fatigue (abnormal in only 5% of Fatigue cases)
-
Complete Blood Count (CBC)
- Consider Serum Ferritin as well
- Consider Vitamin B12 if macrocytosis
-
C-Reactive Protein (C-RP) or Erythrocyte Sedimentation Rate (ESR)
- Consider Antinuclear Antibody if abnormal
- Comprehensive metabolic panel
- Includes Serum Glucose (consider Fasting)
- Includes serum Electrolytes
- Includes Renal Function testing
- Liver Function Tests
- Consider Viral Hepatitis Screening if abnormal
- Thyroid Stimulating Hormone (TSH)
- Urinalysis
- Urine Pregnancy Test (in women of child-bearing age)
V. Labs: Other Diagnostic Testing to consider if indicated
- Immunoglobulin A endomysial antibodies or tissue transglutaminase (TTG) for Celiac Disease
- Chest XRay
- HIV Test
- Electrocardiogram
- Echocardiogram
- Lyme Titer
- PPD Skin Testing
- Urine Toxicology Screen
- Serum Phosphorus