Myalgia

MYOSITIS Although myalgias occur commonly in SLE, true myositis is relatively rare. On study of SLE patients in NIH found a prevalence of myositis of 8 %28 In most of these patients, myositis usually involves proximal upper and lower extremities. Histologic findings in SLE myositis are often less pronounced than those observed in polymyositis. RENAL INVOLVEMENT Renal involvement in SLE can be in the form of 1) Immune complex glomerulonephritis ( most common) 2) Tubulointerstitial disease…

Muscle Pain, Adult Muscle pain (myalgia) may be caused by many things, including: • Overuse or muscle strain, especially if you are not in shape. This is the most common cause of muscle pain. • Injury. • Bruises. • Viruses, such as the flu. • Infectious diseases. • A chronic condition that causes muscle tenderness, fatigue, and headache (fibromyalgia). • A condition, such as lupus, in which the body’s disease-fighting system attacks other organs in the body (autoimmune disease).…

A review of the records reveals the member to be an adult female with a birth date of 08/12/1956. The member has a diagnosis of Restless Leg Syndrome. The member’s treating provider, Josette Johnson, MD recommended the member continue the use of Gralise ER 600mg tablets. The carrier has denied coverage of Gralise ER 600mg tablets as experimental and/or investigational and not medically necessary. There is a letter from the carrier to the member dated 03/21/2016, which states in part:…

infected people do not feel sick at all. Fever is the most common symptom. When other symptoms occur, they may include: • Sweating. • Headache. • Back pain. • Weakness and fatigue. • Chills. • Joint pain (arthralgia). • Muscle pain (myalgia). • Depression. Your caregiver may also find that your lymph glands, liver, or spleen are enlarged during your…

Hepatitis generally refers to an inflammation of the liver caused by alcohol, drugs, chemicals and autoimmune conditions, over half of cases worldwide being caused by viruses. Of the hepatitis viruses, hepatitis A is the most common and most treatable; other forms of viral hepatitis include B, C, D, E and possibly F and G. The first description of “epidemic jaundice” is attributed to Hippocrates and there are reports of outbreaks throughout history. The hepatitis A virus (HAV) is a small…

According to Fowler and Shafazand (2011, Clinical Presentation section, para. 4), there are two stages of inhalation anthrax, the first with an incubation period of one to six days with flu-like symptoms of malaise, non-productive cough, low grade fever, myalgia and intermittent sternal pressure for two to four days. It notes that following the first stage, the patient may seem to recover and will quickly transition into stage two where death may occur in 24-36 hours where acute shortness of…

HPI: 21 year old female with past medical history of glaucoma presents to the ED today for an allergic reaction. Patient has a rash all over her body and states the rash started 3 hours ago. She states she started Amoxicillin a week ago due to acute otitis media infection. She was given a course of Amoxicillin for 7 days, with today being her last day. She was at her PCP’s office later today and received a cortisone injection with Benadryl 30 mins prior to arrival and states she has a burning…

is associated with considerable morbidity, mortality, particularly in elderly patients. Signs and symptoms of CAP includes, fever, rigors, sweating, cough with or without sputum, chest discomfort, and dyspnea. Other nonspecific symptoms include, myalgia, fatigue, anorexia, pain abdomen and headache (Akter et al., 2015). Pertinent positives: C/o cough, chest discomfort due to cough, fatigue and SOB on exertion and fever. CXR shows dense shadow in the RLL. Pertinent negatives: None. P.…

throbbing pain experienced by the patient will be the peripheral vascular disease (PVD). Patient has a medical history of both hypertension and hyperlipidemia for which he has been treated with Valsartan and Zocor. Long term use of statin can lead to myalgia and fatigue. Physical therapist apparently did not perform any tests to doubt vascular reasons for pain. Given the history of hyperlipidemia, throbbing pain in abdominal and groin area with episodes of dyspnea during exertional…

the use of sumatriptan include sensations of tingling, hot/burning, cold, tightness, numbness, dizziness and fatigue (Nursing Drug Reference, 2017). • Adverse reactions of sumatriptan include abdominal discomfort, muscle weakness, neck stiffness, myalgia, chest tightness, throat & nasal discomfort, vision changes, and hypo/hypertension (Nursing Drug Reference, 2017). OBJECTIVE #8 – Alternative therapies for migraine headache & patient education for migraine • It is important to encourage the…