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ALT Infographic of symptoms that can occur post-vac (fatigue, cognitive dysfunction, weakness, tinnitus, pain, tachycardia, etc), diagnoses to consider with relevant tests: Cardio/respiratory: BP, ECG, MRI, echo, D-dimer, FBC, PFT, VQ/DECT. MCAS. Connective tissue disorders: imaging, beighton score. SFN, nerve conduction, QSART, QST, skin biopsy. Nutrition screen. Autoimmune: ANA, ANCA, PR3, MPO, CRP, ESR, APS, reactivated pathogens. ME (see NICE). Endocrine: thyroid, renin, aldosterone. Dysautonomia: NASA lean test, 24 h urine Na. Support patients by: Listening; showing empathy; curious; believing them; working with them as a team; respecting them; updating knowledge based on scientific literature; trying treatments; clearly providing test results; referring to specialists Avoid: Delaying investigations/treatments; being dismissive; being cold; psychologising; assuming normal test results means nothing is wrong; dismissing evidence; excluding pathology based on non-textbook presentations
