Hear the problems and pitfalls of diagnosing fatigue from Best Doctors Experts Dr. Martin Samuels, Dr. Harris McIlwain and Dr. Michael Morse as they discuss their own mistakes in diagnosis:

- Mistakes in determining when fatigue is a systemic disease versus a neurologic or psychiatric disease

- Mistakes with psychiatric/neurologic fatigue but managing the patient as though the condition is a serious disorder, such as multiple sclerosis or Lyme disease

The panel will also offer tips for identifying conditions related to fatigue such as:

Symptoms of hypercalcemia:
- polyuria, polydipsia, anorexia, nausea, constipation, include weakness, confusion, coma
Causes of hypercalcemia:
- primary hyperparathyroidism and malignancy (bone metastases, humeral hypercalcemia of malignancy, myeloma) are the most common;
- others: thyrotoxicosis, hypervitaminosis D, Milk alkali syndrome, adrenal insufficiency, thiazides, immobilization, sarcoidosis

Chronic Fatigue:
- Chronic fatigue -- over 6 months
- 60% or more medical or psychiatric
- Psychiatric illness—major depression, anxiety/panic disorder, somatization disorder
- 5% Clarified by lab studies

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