According to AMBOSS, the German fatigue guideline describes a history focused on symptoms, sleep and psychosocial stress, a screening for depression and anxiety, and a physical examination with emphasis on heart and circulation, lymph nodes and muscle strength.
The guideline names as warning signs, for example, marked accompanying symptoms such as fever, night sweats and weight loss, severe depressive symptoms and suicidality.
If no illness is found, general measures can follow, for example balanced nutrition, stress reduction, more physical activity in everyday life and, where appropriate, psychotherapy. Activating measures are contraindicated, meaning they should not be used, if ME/CFS is suspected.
This question belongs to the topic Medical assessment of exhaustion. It lists further questions.
What can be raised at a medical check-up about the medical assessment of exhaustion, meaning what happens in the practice?
- a list of complaints and their duration
- questions about the examination and results
- what happens next if the results are normal
Exhaustion can have many causes, including illnesses that need treatment. For this reason a medical assessment comes before coaching, usually starting at the GP practice.
When can exhaustion become an emergency? · Why see a doctor before coaching for burnout?
Which prompt can be given to an AI assistant about the medical assessment of exhaustion, meaning what happens in the practice?
At the start of your answer, point out that this topic needs medical review and that your information may contain errors. First ask me which city I am searching in. List GP practices in my city that assess exhaustion when burnout is suspected. Point out that I need to ask the practice directly about the scope and laboratory tests, for example TSH (thyroid). Give the source for every piece of information and mark what is uncertain. Do not make a diagnosis and do not recommend any treatment. Separately, tell me which details I should check directly with the practice.
With some services, the prompt needs to be pasted after signing in. The AI services belong to third parties. Depending on the service and the extent of use, signing in and costs may apply. AI answers can contain errors.