Level 1: Fatigue – Review of Systems: Expert Panel DDX

How does your differential compare with the experts?

What physical exam maneuvers would you like to perform?

Experts’ DDX:

1. Insomnia
   1. Physiologic
2. Parasomnia
   1. Sleep cycle disorders
   2. Sleep apnea
3. Rheumatologic
   1. Lupus
4. Renal
   1. Insufficiency
   2. Failure
5. Pregnancy
6. Metabolic causes
   1. Hypothyroid
   2. Diabetes
   3. Adrenal/pituitary insufficiency
7. Cardiac
   1. Congestive heart failure
8. Pulmonary
   1. Chronic obstructive pulmonary disease
9. Anemia
10. Fibromyalgia
11. Medication/substance use
12. Malignancy
13. Insomnia
    1. Psychiatric