疲劳:它并不总是在头部
Jehan Zeb1, Sana Zafar2, Zehra Irshad3
1Acute Medicine, University Hospital Coventry and Warwickshire, Coventry, GBR.
Cureus
|July 7, 2023
概括
巨细胞动脉炎 (GCA) 仅仅表现为疲劳,这是一个常见但具有挑战性的症状. 这一案例凸显了在老年人中考虑非典型的GCA呈现的重要性.
科学领域:
- 类风湿病学 类风湿病学
- 内部医学 内部医学
- 血管炎症 血管炎症
背景情况:
- 疲劳是临床环境中常见的,通常是复杂的投诉.
- 作为疲劳的潜在医疗状况的非典型表现可能会带来诊断挑战.
- 巨细胞动脉炎 (GCA) 是一种影响中大动脉的血管炎,通常发生在50岁以上的人身上.
研究的目的:
- 呈现一个GCA病例,其中疲劳是唯一呈现症状.
- 强调在GCA的非典型呈现中认识到GCA的重要性.
- 强调早期诊断和治疗GCA的必要性,以防止严重的并发症.
主要方法:
- 病例报告详细介绍了一名患者,唯一的症状是疲劳.
- 审查GCA的典型症状和诊断方面的考虑.
- 讨论当疲劳是唯一的指标时的诊断挑战.
主要成果:
- 该病例成功地发现了GCA,尽管没有典型的症状,如头痛或关节.
- 疲劳是导致调查的主要和孤立的投诉.
- 诊断强调了GCA临床表现的变化.
结论:
- 临床医生应在老年人中保持高的GCA怀疑指数,这些老年人呈现出无法解释的疲劳.
- GCA的非典型表现,例如孤立的疲劳,需要进行彻底的调查.
- 及时诊断和管理GCA至关重要,以避免失明等不可逆转的并发症.
相关概念视频
Muscle Recovery and Fatigue
2.2K
Muscle fatigue refers to the decline in a muscle's ability to maintain the force of contraction after prolonged activity. It primarily stems from changes within muscle fibers. Even before experiencing muscle fatigue, one may feel tired and have the urge to stop the activity. This response, known as central fatigue, occurs due to changes in the central nervous system, namely the brain and spinal cord. While there is no single mechanism that induces fatigue, it may serve as a protective...
2.2K
Fatigue
213
Fatigue occurs when materials rupture under repeated or fluctuating loads, even at stress levels far below their static breaking strength. It typically results in brittle failure, even for ductile materials. It is a critical consideration in designing machines and structural components subjected to repetitive or varying loads. The nature of these loadings can range from fluctuating loads like unbalanced pump impellers causing vibrations to repeatedly bending a thin steel rod wire back and forth...
213
Fatigue Strength of Concrete
221
Fatigue, in the context of materials science and engineering, refers to the weakening or failure of a material caused by repeatedly applied loads, even if these loads are below the strength limit of the material. Fatigue strength in concrete is a critical property that influences its durability and longevity. Concrete can fail in two ways due to fatigue. Static fatigue or creep rupture occurs under a constant load or one that increases slowly. The other failure mode is due to cyclical or...
221
Depressive Disorders: Etiology
140
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
140
Aging
89
Aging is a complex biological phenomenon influenced by various processes that affect cellular and systemic functions. Several prominent theories attempt to explain its mechanisms, highlighting cellular limitations, oxidative damage, and hormonal changes as central factors in aging.
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
89
Insufficient Sleep and Sleep Deprivation
176
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
176


