Fibromyalgia: Difference between revisions
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ClaireLewis (talk | contribs) No edit summary |
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==Clinical Features== | ==Clinical Features== | ||
*Chronic musculoskeletal pain | *Chronic musculoskeletal pain | ||
*Insomnia | *[[Insomnia]] | ||
*[[Fatigue]] | *[[Fatigue]] | ||
*Decreased concentration | *Decreased concentration | ||
*[[Headache]] | *[[Headache]] | ||
* | *[[Paresthesias]] | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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*[[Systemic lupus erythematosus]] | *[[Systemic lupus erythematosus]] | ||
*[[Ankylosing spondylitis]] | *[[Ankylosing spondylitis]] | ||
* | *Myopathies: metabolic or statin-induced | ||
*[[Myasthenia gravis]] | *[[Myasthenia gravis]] | ||
*Myofascial pain syndrome | *Myofascial pain syndrome | ||
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==Evaluation== | ==Evaluation== | ||
*Clinical diagnosis | |||
==Management== | ==Management== | ||
Latest revision as of 02:30, 3 October 2019
Background
- A disorder of pain regulation, sometimes classified as a kind of central sensitization
- Chronic musculoskeletal pain not explained by another systemic disorder
- More common in women than men
Clinical Features
- Chronic musculoskeletal pain
- Insomnia
- Fatigue
- Decreased concentration
- Headache
- Paresthesias
Differential Diagnosis
- Rheumatoid arthritis
- Sjögren Syndrome
- Systemic lupus erythematosus
- Ankylosing spondylitis
- Myopathies: metabolic or statin-induced
- Myasthenia gravis
- Myofascial pain syndrome
- Multiple sclerosis
- Psychiatric disorders
Evaluation
- Clinical diagnosis
Management
- Tricyclic antidepressants
- Select SNRIs (duloxetine, venlafaxine, milnacipran)
- Anticonvulsants (pregabalin, gabapentin)
- Exercise program
Disposition
- Discharge