Page 1 of 2: A 49-year-old man complains of

ikppp · Credits: 1686 My Scrapbook

A 49-year-old man complains of a six month history of worrying about his health, increased desire to sleep, demoralization, and difficulty focussing attention on tasks. Which one of the following is the most likely diagnosis?

1) schizoid personality disorder

2) somatization disorder

3) generalized anxiety disorder

4) depression

5) chronic fatigue syndrome

docmk27 · Credits: 5913 My Scrapbook

3) generalized anxiety disorder

dannyflora · Credits: 823 My Scrapbook

4) depression

GAD usu has trouble in sleeping. So I r/o GAD

Could host tell which is the right answer?

kareena_bright · Credits: 420 My Scrapbook

4) depression
there can be insomnia or oversleeping.

voxel · Credits: 33062 My Scrapbook

depression is most likely

dr_bvv · Credits: 2040 My Scrapbook

depression (atypical form)

vijbihari · Credits: 3786 My Scrapbook

Depression

sairauddin · Credits: 3963 My Scrapbook

Chr fatigue syndrome

voxel · Credits: 33062 My Scrapbook

That's right; now that I read the case carefully again, it seems taht the best answer is Chronic Fatigue Syndrom. Thanks dr sairauddin.

dr_bvv · Credits: 2040 My Scrapbook

dr sairauddin,
can you please explain your answer?

CFS is a dg of exclusion, you have to rule out first psychi,subst abuse- related pbs.
the key symptome is unexplained , chronic fatigue plus another 4 out of 8 symptoms for 6 months(memory pb, sore throat, tender cervical node, muscle, joint pain, headache, unrefreshed sleep(not increased sleep desire), and fatigue more than 24 hrs

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