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14 Cards in this Set
- Front
- Back
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how many tender points must be painful in order to diagnose fibromyalgia?
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11 out of 18
should be reproducible |
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how long must a patient have pain for it to be considered fibromyalgia?
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3 months
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what are 3 specific stressors that can induce fibromyalgia?
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infecitons
emotional trauma |
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what are 6 key symptoms of fibromyalgia?
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pain
overwhelming fatigue joint pains headaches leg cramps IBD |
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what seems to be an important factor in fibromyalgia?
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non-restorative or unrefreshed sleep
disruption of stage 4 - NREM by alpha intrusion |
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what hormone is low in fibromyalgia?
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growth hormone
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what levels will be low in CF in fibromyalgia?
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serotonin
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what 3 things are believed to be blocked from reaching the inhibitory pain fibers in fibromyalgia?
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serotonin
dopamine norepi |
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what worsens the primary pain of fibromyalgia?
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deconditioning
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what are 4 non-pharmacologic treatments of fibromyalgia?
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education
aerobic exercise acupuncture cognitive behavioral therapy |
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what pharmacological methods used to treat non-restorative sleep in fibromyalgia?
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muscle relaxants
short acting hypnotics |
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what 3 drugs are of little or no value in fibromyalgia?
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opioids
NSAIDS benzodiazepines |
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what are 2 reuptake inhibitors?
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duloxetine (cymbalta)
milnacipran |
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what is an alpha-2-delta ligand?
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pregabalin (lyrica
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