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NICE NG206 Differential Diagnosis

NICE-compliant investigations to exclude other diagnoses when ME/CFS is suspected

Red Flag Symptoms

Check any symptoms present that may require urgent evaluation

Infectious/Inflammatory
Malignancy/Metabolic
Cardiovascular
Cardiopulmonary
Neurological
Hematological
Infectious/Malignancy
Hepatic

NICE NG206 Required Investigations

Mandatory tests to exclude other diagnoses when ME/CFS is suspected

Required investigations for all patients with suspected ME/CFS

Urinalysis for protein, blood and glucose, Full blood count, Urea and electrolytes + 9 more

Consider based on clinical presentation and history

Vitamin D, Vitamin B12 and folate levels, Serological tests if infection history + 1 more

Extra considerations for children and young people

Growth parameters, Developmental assessment, School attendance review + 1 more