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Evaluating adolescents with fatigue.

American Family Physician

|March 1, 1987

Summary

This summary is machine-generated.

Adolescent fatigue often lacks serious causes but warrants investigation. Further evaluation may involve laboratory tests and follow-up visits if initial assessments are inconclusive.

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Area of Science:

Pediatrics
Adolescent Medicine
Internal Medicine

Background:

Fatigue is a common complaint among adolescents.
Most cases of adolescent fatigue are not indicative of serious underlying medical conditions.

Purpose of the Study:

To outline an approach for evaluating adolescent fatigue.
To guide clinicians in investigating persistent or unexplained fatigue in adolescents.

Main Methods:

Initial assessment includes a thorough medical history and physical examination.
Consideration of laboratory investigations such as complete blood count, erythrocyte sedimentation rate, urinalysis, and Epstein-Barr virus antibody testing.
Sequential patient visits for ongoing assessment and clue gathering.

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Main Results:

Most adolescents presenting with fatigue do not have a significant medical diagnosis.
Laboratory tests can aid in diagnosis when initial evaluation is inconclusive.
Repeated clinical evaluations are valuable for diagnosis and family reassurance.

Conclusions:

Adolescent fatigue requires careful evaluation, even if serious illness is unlikely.
A stepwise diagnostic approach, including laboratory testing and follow-up, is recommended for persistent cases.
Ongoing physician-family communication is crucial for managing adolescent fatigue.