Fatigue and lethargy in children and adolescents — OSCE

Station brief (candidate)

• Distinguish ordinary convalescent fatigue from red-flag disease.
• Take a focused history (sleep, snoring, mood, menses if relevant, post-exertional pattern, bone pain, fever).
• Explain which examinations and tests you will do and why.
• Agree a staged plan: treat reversible causes, energy management if indicated, school plan, review timing.
• Safety-net specifically. Avoid blame and avoid forced exercise as a universal prescription. ^{[1] [2] [5]}