Titred all the time

Clinical problem solving Module
Phase 1/Semester2
2017/2018
Tired All The Time
Dr. Salam Almosawi
F.I.B.M.S )URO)
Tired all the Time
Aims and Objectives:
1. Know how to made concept map regarding patient present with
“tired all the time” and related conditions.
2. Acquire the skills of thinking as a doctor in building a conceptual map
using information from concurrent modules and previous
information.conceptual structures which will help you to diagnose and
manage complex multi-factorial conditions .
Introductions
One the most common reason for patients attending their
General Practitioner is to report feeling “tired all the time”.
This can be very challenging to deal with as there is a
multitude of reasons why it could occur.
ETIOLOGY
lack of physical energy.
lack of psychological motivation to act.
Lack of Physical energy
1)Oxygen supplement to the tissues.
2)glucose supplement to the tissues.
3)variety of chemical signals. Thyroid hormones determine overall metabolic rate.
4)Chemical messengers produced by the immune system or by pathogens often
produce profound feelings of tiredness ,lethargy, both acutely and sometimes long
term (Chronic Fatigue Syndrome).
5) Changes in the serum level of some electrolytes as potassium, calcium .