Chronic fatigue syndrome Flashcards
1
Q
CFS def
A
persistent fatigue :
- not lifelong
- not result of ongoing exertion
- not alleviated by rest
3 mo in children, 4 months in adults
2
Q
CFS genetics
A
monozygotic: 80% in children, 40% in adults
if more genes present, more likely to present earlier
3
Q
Advice on naps
A
20 mins
before 3pm
open curtains
4
Q
Advice on sleep
A
- Dont oversleep; One extra hour sleep reduces the quality
- Wake up at the same time everyday
5
Q
Chronic pain syndrome
A
- chronic 12 wks disabling - generalised (eg fibromyalgia) - complex regional ( triggered by injury, confined to one limb)
6
Q
Phantom limb pain
A
no pathology there, but still feels pain
7
Q
Allodynia
A
over sensitivity to pain
8
Q
How to re-educate the brain for allodynia
A
regular message: every hour
9
Q
Meds for chronic pain
A
amitriptyline
duloxetine
gabapentin
pregabalin
