{"id":21007,"date":"2019-05-09T22:38:40","date_gmt":"2019-05-09T22:38:40","guid":{"rendered":"https:\/\/wames.org.uk\/cms-english\/?page_id=21007"},"modified":"2023-05-12T10:09:28","modified_gmt":"2023-05-12T09:09:28","slug":"diagnostic-guidelines","status":"publish","type":"page","link":"https:\/\/wames.org.uk\/cms-english\/professionals\/diagnostic-guidelines\/","title":{"rendered":"Diagnostic guidelines"},"content":{"rendered":"<h1><span style=\"color: #990000;\"><strong><span style=\"color: #993300;\">Diagnostic Guidelines<\/span><\/strong><\/span><\/h1>\n<p>&nbsp;<\/p>\n<h3><strong>Detailed guidance on the diagnosis of ME can be\u00a0 obtained from:<\/strong><\/h3>\n<p>&nbsp;<\/p>\n<h3><strong><span style=\"color: #990000;\">NICE<\/span> &#8211; ME\/CFS: diagnosis and management [NG206] October 2021<\/strong><\/h3>\n<p>This <a href=\"https:\/\/www.nice.org.uk\/guidance\/NG206\" target=\"_blank\" rel=\"noopener\">guideline<\/a> covers children, young people and adults. It includes recommendations on diagnosis, assessment and care planning, safeguarding, access to care and managing ME\/CFS and its symptoms.<\/p>\n<p style=\"padding-left: 40px;\"><strong>Doctors with ME<\/strong>: <a href=\"https:\/\/doctorswith.me\/nice-gp-update\/\" target=\"_blank\" rel=\"noopener\">Putting it into Practice: What NICE ME\/CFS means for GPs<\/a><\/p>\n<h3><span style=\"color: #993300;\"><strong>ME Association<\/strong>:<\/span> ME\/CFS\/PVFS: an exploration of the key clinical issues<\/h3>\n<p style=\"padding-left: 40px;\">the \u2018<a href=\"https:\/\/www.meassociation.org.uk\/shop\/books\/mecfspvfs-an-exploration-of-the-key-clinical-issues\/\" target=\"_blank\" rel=\"noopener noreferrer\">purple book\u2019<\/a> is updated annually by UK GP Dr Charles Shepherd and neurologist Abhijit Chaudhuri. (Health professionals can contact the MEA for a free copy.)<\/p>\n<h3><strong><span style=\"color: #993300;\">Myalgic Encephalomyelitis<\/span> \u2013 adult and pediatric: International Consensus Primer for medical practitioners<\/strong><\/h3>\n<p style=\"padding-left: 40px;\">The 2011 <a href=\"http:\/\/www.investinme.org\/Documents\/Guidelines\/Myalgic%20Encephalomyelitis%20International%20Consensus%20Primer%20-2012-11-26.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">International Consensus Primer<\/a> covers criteria, pathophysiology, and diagnostic and treatment protocols and is a later development of the widely accepted <a href=\"http:\/\/www.mefmaction.com\/images\/stories\/Overviews\/ME-Overview.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Canadian criteria<\/a>: <strong>Myalgic Encephalomyelitis\/ Chronic Fatigue Syndrome: A Clinical Case Definition and Guidelines for Medical Practitioners<\/strong> (2005)<\/p>\n<h3><strong><span style=\"color: #993300;\">Diagnosing and treating Myalgic Encephalomyelitis<\/span>\/Chronic Fatigue Syndrome: &#8211; U.S. Clinical coalition v. 2<\/strong><\/h3>\n<p style=\"padding-left: 40px;\">A 2021 coalition&#8217;s <a href=\"https:\/\/drive.google.com\/file\/d\/1SG7hlJTCSDrDHqvioPMq-cX-rgRKXjfk\/view\" target=\"_blank\" rel=\"noopener\">clinician\u2019s guide<\/a>, <a href=\"https:\/\/drive.google.com\/file\/d\/1Yu79EYxQIwNVER5tErp7LH7KY8pI8S_e\/view\" target=\"_blank\" rel=\"noopener\">testing recommendations for suspected ME<\/a> and \u00a0<a href=\"https:\/\/drive.google.com\/file\/d\/1T6psBJehr-6BuSNlCGfT6SKNbIFx0Lf5\/view\" target=\"_blank\" rel=\"noopener\">treatment recommendations.<\/a><\/p>\n<p><strong><a href=\"https:\/\/wames.org.uk\/cms-english\/professionals\/diagnostic-guidelines\/young-peoples-primer-front-cover-724x1024\/\" rel=\"attachment wp-att-21010\"><img data-recalc-dims=\"1\" decoding=\"async\" class=\"alignleft wp-image-21010 size-thumbnail lazyload\" data-src=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/05\/Young-Peoples-primer-front-cover-724x1024.jpg?resize=106%2C150&#038;ssl=1\" alt=\"\" width=\"106\" height=\"150\" data-srcset=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/05\/Young-Peoples-primer-front-cover-724x1024.jpg?resize=106%2C150&amp;ssl=1 106w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/05\/Young-Peoples-primer-front-cover-724x1024.jpg?resize=212%2C300&amp;ssl=1 212w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/05\/Young-Peoples-primer-front-cover-724x1024.jpg?resize=724%2C1024&amp;ssl=1 724w\" data-sizes=\"(max-width: 106px) 100vw, 106px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 106px; --smush-placeholder-aspect-ratio: 106\/150;\" \/><\/a><\/strong><strong><span style=\"color: #993300;\">Myalgic Encephalomyelitis\/ Chronic Fatigue Syndrome<\/span>: Diagnosis and management in young people: a primer<\/strong> (2017)<\/p>\n<p style=\"padding-left: 120px;\">Although paediatric ME overlaps with adult ME this <a href=\"http:\/\/www.mefmaction.com\/images\/stories\/Medical\/Pediatric-Primer-E.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">paediatric primer<\/a> was developed to cover the many unique aspects of the diagnosis and management of paediatric ME\/CFS.<\/p>\n<h2><span style=\"color: #993300;\"><strong>Physical signs<\/strong><\/span><\/h2>\n<p>A number of practitioners are exploring the use of physical examination to identify signs of ME:<\/p>\n<ul>\n<li><strong>U.S. Clinical Coalition<\/strong> &#8211; Testing recommendations for ME\/CFS &#8211; includes tests to positively support a diagnosis of ME\/CFS (rather than ruling out other conditions) e.g. 4-point salivary cortisol test, 10 &#8211; 20 minute passive standing test (NASA Lean test), Tilt Table Test<\/li>\n<li><a href=\"https:\/\/me-pedia.org\/wiki\/Diagnostic_biomarker\" target=\"_blank\" rel=\"noopener\"><strong>Other potential tests and biomarkers<\/strong><\/a> &#8211; The handgrip strength test is one of the promising physical tests under investigation.<\/li>\n<\/ul>\n<h2><strong>See also <\/strong><\/h2>\n<h3>videos giving an overview of ME\/CFS: <a href=\"https:\/\/wames.org.uk\/cms-english\/professionals\/diagnosis-an-introduction\/\"><span style=\"color: #993300;\">Diagnosis &#8211; an introduction<\/span><\/a><\/h3>\n<p style=\"text-align: right;\"><a href=\"#top\">return to top of page<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Diagnostic Guidelines &nbsp; Detailed guidance on the diagnosis of ME can be\u00a0 obtained from: &nbsp; NICE &#8211; ME\/CFS: diagnosis and management [NG206] October 2021 This guideline covers children, young people and adults. It includes recommendations on diagnosis, assessment and care &hellip; <a href=\"https:\/\/wames.org.uk\/cms-english\/professionals\/diagnostic-guidelines\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":41,"menu_order":3,"comment_status":"closed","ping_status":"closed","template":"one-column-subpages.php","meta":{"jetpack_post_was_ever_published":false,"footnotes":""},"class_list":["post-21007","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/P5qkYK-5sP","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/pages\/21007","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/comments?post=21007"}],"version-history":[{"count":10,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/pages\/21007\/revisions"}],"predecessor-version":[{"id":39260,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/pages\/21007\/revisions\/39260"}],"up":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/pages\/41"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=21007"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}