[Fatigue - a Common Symptom in General Practice].

Area of Science:

• General Practice
• Internal Medicine
• Symptomatology

Background:

• Fatigue is a prevalent symptom encountered in general practice.
• Understanding the patient's perspective on fatigue is crucial for effective diagnosis and management.

Purpose of the Study:

• To outline a systematic approach for general practitioners (GPs) managing patients presenting with fatigue.
• To emphasize the importance of a comprehensive evaluation, including patient-reported factors and potential underlying conditions.

Main Methods:

• In-depth patient history taking to understand the meaning, impact, and perceived causes of fatigue.
• Systematic exclusion of dangerous diseases like depression, addiction, and sleep apnea syndrome.
• Simultaneous exploration of main somatic and psychiatric causes of fatigue.
• Basic physical examination and laboratory tests to identify major disorders.
• Adoption of a primary biopsychosocial approach and fostering a strong physician-patient relationship.

Main Results:

• A structured approach allows for the identification of major disorders presenting with isolated fatigue.
• Initial assessment can be effectively supported by a simple physical exam and limited lab tests.
• Considering comorbidities is essential for accurate diagnosis and treatment planning.

Conclusions:

• GPs must elicit detailed information about fatigue, including patient perceptions and daily life impact.
• Excluding serious conditions and exploring common causes concurrently is recommended.
• A biopsychosocial framework and a strong physician-patient relationship are fundamental for managing fatigue effectively.