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DIRECTIONS
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CFIDS
RESOURCES
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Diagnostic
protocol from the Annals of Internal Medicine Holmes et al published gudelines in 1988 in the Annals of Internal Medicine. The matter was reviewed in 1994 (Fukuda et al Ann Int Med 1994; see appendix II in CFS Handbook) when an international panel suggested the following diagnostic guidelines: A thorough medical history, physical examination, mental status, and laboratory tests must be conducted to identify underlying conditions that require treatment. Diagnosis cannot be made without such an evaluation. A patient must satisfy these criteria, to receive a diagnosis of CFS. 1. Clinically evaluated, unexplained persistent or relapsing chronic fatigue of 6 months or longer duration that is of new or definite onset, not lifelong, with other known medical conditions excluded by clinical diagnosis. It is not the result of ongoing exertion, not substantially alleviated by rest, and results in substantial reduction in previous levels of occupational, educational and social activities. 2. The concurrent occurrence of four or more of these symptoms:
the following tests are required within the last 3 months
Comprehensive blood tests (SMAC )/ CBC
...T cells including CD57
Thyroid panel, T3,T4 and TSH
...Thyroid peroxidase
SERUM TESTS for :
...Viral titers of HHV6 EBV, CMV
...serum amino acids... including carnitine,glutathione, cystine,argenine,methionine
...Lymes Disease --- Western Blot, Eliza and PCR
...Mycoplasma pneum.,
...Clamydia pneum.,
...Candida
...Babesia ,
...Erlichia
EKG ,
cardiac output Impedance Cardiography( this is an upgraded tilt table. Dr Enlander is one of the few physicians with this new Cardiac Output equipment),
Spirometry
Cancer screening tests Ca125 (female Ovarian) ; PSA/ PAP (male prostate)
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