DiscoverThe Curbsiders Internal Medicine Podcast#213 Fatigue for Primary Care with Nina Mingioni MD
#213 Fatigue for Primary Care with Nina Mingioni MD

#213 Fatigue for Primary Care with Nina Mingioni MD

Update: 2020-05-11


Listen as our esteemed guest Dr. Nina Mingioni walks us through her approach to fatigue, from differential diagnosis, to the evidence behind physical exam, laboratory workup, and beyond!


Listeners can claim Free CME credit through VCU Health at (CME goes live at 0900 ET on the episode’s release date). 


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  • Writer, Producer, Infographic, and Cover Art: Hannah R. Abrams
  • Hosts: Hannah R Abrams, Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of
  • Guest: Nina Mingioni MD, FACP



Join in! We’re hosting a LIVE! COVID Cakes discussion of Remdesivir and other hot COVID-19 stories this coming Tuesday May 12, 2020 at 8:30 pm ET @thecurbsiders on Twitter and Periscope!



We are excited to announce that the Curbsiders are now partnering with VCU Health Continuing Education to offer continuing education credits for physicians and other healthcare professionals. Check out for more information.


Time Stamps

  • 00:00 Intro, disclaimer, guest bio and a bad pun
  • 03:00 Guest one-liner
  • 07:10 Case from Kashlak, Defining fatigue; Taking a general history
  • 11:36 Most common causes of fatigue and how to elicit them from the history
  • 20:39 Physical exam for fatigue; Medications that cause fatigue;
  • 25:25 Exam findings and LRs for anemia; Sleep apnea
  • 30:55 Lab workup for fatigue; Expanded testing: Ferritin, Vitamins, EBV, Rheumatologic diseases, Celiac disease, Lyme
  • 47:55 Spiel to the patient when no answer is found
  • 51:14 Other diagnoses to consider: Fibromyalgia, Myalgic Encephalomyelitis
  • 55:09 Take home points and Outro



Listeners will develop an approach to caring for patients with fatigue symptoms.


Learning objectives

After listening to this episode listeners will…  

  1. Identify top causes of fatigue
  2. Develop an evidence-based approach to assessing a patient with fatigue
  3. Describe evidence-based screening tools for fatigue



Dr. Mingioni reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 



Mingioni N, Abrams HR, Williams PN, Watto MF. “#213 Fatigue for Primary Care with Nina Mingioni MD”. The Curbsiders Internal Medicine Podcast. Air date May 11, 2020.

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#213 Fatigue for Primary Care with Nina Mingioni MD

#213 Fatigue for Primary Care with Nina Mingioni MD