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3 Cards in this Set

  • Front
  • Back
The hallmark symptom of Fibromyalgia is muscle pain.
( muscle physiology is Intact., No Inflammation in muscle , the Bx is often negative)
Fibromyalgia is a Rheumatological d/o
Not a Auto-Immune d/o such as Lupus
Etiological factors for Fibromyalgia-
Psychological (depression)
stress
anxiety
lack of sleep
ACR criteria for DX of Fibromyalgia
11- 18 tender points
widespread pain above and below the waist X 3 months
atleast total of 13 listed symptoms
Fibromyalgia (DDx)
SLE
CFS
under active thyroid
MS
myositis
RA
CTD
Sjogrens syndrome
Depression
Diagnostics for Fibromyalgia-
No confirmatory tests available
Diagnosis is made by clinical judgement
over time
LABS for Fibromyalgia=
Sleep studies ( polysomnography)
abnormal sleep waves pattern
EEG ( increased somatosensory responses)
Other clinical tests to rule out Inflammatory d/o
CBC
CPK, aldolase
TFT
ESR,U/A , Auto Immune markers/
antibodies tests