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17 Cards in this Set
- Front
- Back
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this is a chronic condition with widespread pain in muscles, ligaments, and tendons, as well as fatigue, and multiple tender points
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fibromyalgia
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what age is the diagnosis
higher in females or males occurs in what percent of the population |
30-50 years
female 9x 2% |
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what are symptoms of fibromyalgia
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can vary, on weather, stress, activity, time of day
widespread pain and tender points, affects both sides,as well as below waist constant dull pain in muscles fatigue sleep disturbance - bc of pain |
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how many tender points are there
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18
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how many tender points must you have to be considered fibromyalgia
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>11
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where are some tender points
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occiput
low cervical trap supraspinatus lateral epicondyle gluteal greater trochanter knees |
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what are other symptoms associated with fibromyaglia
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swelling in hands and feed
morning stiff HA paresthesias sensitivity to hot and cold dypnea CP night sweats visual problem dizzy painful menses GI complaints memory impair anxiety/depression |
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what are common co-existing conditions in people diagnosed with fibromyalgia
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chronic fatigue
depression endometriosis HA IBS lupus OA PTSD RLS arthritis raynauds mitral valve prolapse episodic hypoglycemia |
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how many months must you have symptoms for
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>3
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what are important history questions
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cognitive impairment
diarrhea what precipitate symptoms impact school, work, relationship |
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what will you focus on during your PE
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VS
general appearance neck - thyroid bilateral digital palpation of pressure points - 4kg pressure MS - joints MS and mental health |
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what are some differentials
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chronic fatigue
RA SLE somatization depression myofascial pain - in men, at trigger points PMR - increased ESR severe hypothyroid |
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what tests should you do for fibromyalgia
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no test to diagnose, excluding only
cbc esr cpk tsh rf bmp |
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what is the pharm treatment for fibromyalgia
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tylenol
tramadol 50mg NSAIDS Antidepressents - amitriptylineto promote sleep, 10mg PO, increase to 50mg Prozac with amitrip Cymbalta - pain and fatigue Savella Antiseizure Neurotin Lyrica |
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what are non-pharm treatments for fibromyalgia
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PT - restore muscle balance
massage acupuncture stress management relaxation TENS lidocaine injection Kenalog |
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what is patient education
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discuss this is a real disease, with real symptoms, can be managed
exercise, stretch, proper posture reduce stress get enough sleep |
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is fibromyalgia progressive
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no, but can lead to pain, depression and lack of sleep, why SNRI are good
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