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4 Cards in this Set
- Front
- Back
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Sx suggestive of fibromyalgia (3&3) |
Diffuse MSS pain present for >3/12; stiffness Persists throughout the day & worsens with activity Involving the shoulder & pelvic girdle, not limited to muscles or joints Disordered memory Poor sleep History of other pain syndromes (migraine, functional bowel disorder) |
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Tender point examination for fibromyalgia |
Pain & tenderness on both sides of the body Above & below the waist, including the axial spine NB. the paraspinus, scapular & trapezius muscles 18 points (9 pairs) Anteriorly (4) Posteriorly (5) |
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Ix for fibromyalgia |
TSH to exclude hypothyroidism CK to exclude inflammatory myopathies ESR to exclude PMR ANA to exclude SLE FBE to exclude infection +/- sleep studies & joint fluid analysis depending on the HOPI / constellation of presenting Sx |
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Sx suggestive of polymyalgia rheumatica |
Acute onset of disabling pain Morning/rest stiffness Involving the shoulder & pelvic girdle ESR >50 Generally older patient (>50yo) |
