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What do my lab test results indicate?

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Posted on Tue, 24 May 2016
Question: I have a patient who complains of fatigue and test for EBV ab VCA IgG and results are 274, IgM negative CRP 20.5...Is this Chronic Fatigue?


This is a female pre med student
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Answered by Dr. Anshul Varshney (1 hour later)
Brief Answer:
Requires evaluation.

Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney.
I have gone through your query and understand your concern.

If you talk about clinical practice then there is hardly any difference between treatment and of chronic fatigue syndrome and other associated non inflammatory conditions.

However following routine investigations are must:

1. Complete Blood count.
2. Thyroid profile.
3. ESR
4. Calcium and Vitamin D levels.

If every thing is normal, I would hereby like to treat my patient with the same issue with SSRI like Duloxetine as the patient is a premedical student and might be under stress.

Even if it's Fibromyalgia , Chronic fatigue syndrome the treatment if choice would be Duloxetine.

I hope it helps you.
If you have any further query, please ask me.

Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3071 Questions

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What do my lab test results indicate?

Brief Answer: Requires evaluation. Detailed Answer: Welcome To HCM. I am Dr Anshul Varshney. I have gone through your query and understand your concern. If you talk about clinical practice then there is hardly any difference between treatment and of chronic fatigue syndrome and other associated non inflammatory conditions. However following routine investigations are must: 1. Complete Blood count. 2. Thyroid profile. 3. ESR 4. Calcium and Vitamin D levels. If every thing is normal, I would hereby like to treat my patient with the same issue with SSRI like Duloxetine as the patient is a premedical student and might be under stress. Even if it's Fibromyalgia , Chronic fatigue syndrome the treatment if choice would be Duloxetine. I hope it helps you. If you have any further query, please ask me. Regards