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I Always Feel Tired and Fatigued

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Mind Map on I Always Feel Tired and Fatigued, created by aa aa on 14/02/2019.
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Mind Map by aa aa, updated more than 1 year ago More Less
Fatma Shwaylia
Created by Fatma Shwaylia over 7 years ago
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I Always Feel Tired and Fatigued
  1. Anemia
    1. a condition in which there is a deficiency of red cells or of haemoglobin in the blood, resulting in pallor and weariness.
      1. Insufficient oxygen transport
        1. Tissue hypoxia
          1. Brain
            1. somnolence and fatigue
            2. Heart
              1. Angina
                1. heart attack
                2. Lung
                  1. Dyspnea and low respiratory reserve
                  2. Skeletal muscles
                    1. Weakness and fatigue
            3. patients's complaint
              1. Progressive tiredness and fatigue, Shortness of breath on exertion, Lost appetite and weight, Variation in bowel movements, Abdominal discomfort, and Dyspepsia
                1. Blood investigations
                  1. Showing signs of iron deficiency anemia and inflammation
                  2. Stool Analysis
                    1. Positive for occult blood
                      1. Divecular bleeding
                        1. Diverticular Disease
                          1. Crohn’s disease
                            1. Colorectal cancer
                              1. Pathophysiology
                                1. APC/K-RAS/P53 mutations
                                  1. microsatellite instability
                                  2. Risk Factors
                                    1. Increased age
                                      1. Male gender
                                        1. Low Socioeconomic status
                                          1. Black race
                                            1. Obesity
                                            2. Types
                                              1. One sided in the right side
                                                1. Annular growth on the left side
                                                2. Management
                                                  1. Stage A - surgical removal
                                                    1. Stage B - surgical resection + adjuvant chemotherapy
                                                      1. Stage C - surgical resection + 5-fluorouracil + Leucovorin
                                                        1. Satge D
                                                          1. Single agent
                                                            1. Fluorouracil
                                                              1. Oxaliplatin
                                                                1. Irinotecan
                                                                2. Combination
                                                                  1. Fluorouracil + Irinotecan + Leucovorin
                                                                    1. Fluorouracil + Oxaliplatin + Leucovorin
                                                          2. Diffrential diagnosis
                                                            1. IBS
                                                              1. Causes
                                                                1. Gut-brain axis problems
                                                                  1. Small intestinal bacterial overgrowth
                                                                    1. Genetic factors
                                                                      1. Food sensitivity
                                                                        1. Gut motility problems
                                                                        2. Symptoms
                                                                          1. Abdominal discomfort/pain/bloating
                                                                            1. Alteration of bowel habits
                                                                            2. Risk factors
                                                                              1. Physical and sexual abuse
                                                                                1. <50 yrs of age
                                                                                  1. female sex
                                                                                    1. previous enteric infection
                                                                                    2. Treatment
                                                                                      1. treatment of symptoms and in case of association of short chain carbohydrates then diet management
                                                                                    3. IBD
                                                                                      1. Ulcerative colitis
                                                                                        1. Crohn's disease
                                                                                        2. Hemorrhoids
                                                                                          1. Anal fissure
                                                                                            1. Diverticular disease

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