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ECOS 4 > Fibromyalgia > Flashcards

Fibromyalgia Flashcards

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1
Q

What time length defines chronic pain?

A

Pain > 3 months

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2
Q

What is the most common cause of chronic widespread msk pain?

A

Fibromyalgia

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3
Q

Fibromyalgia is more common in what sex?

A

Females

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4
Q

Describe the etiology, labs and patient appearance with Fibromyalgia?

A

NO trigger of etiology

– NORMAL labs and appearance of patient

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5
Q

In order to diagnose Fibromyalgia, what 3 conditions must be met?

A
  1. Widespread pain index > 7
  2. Symptom severity scale > 5
  3. Symptoms present > 3 months
    - - no other cause of pain
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6
Q

In order to diagnose Fibromyalgia, what 3 conditions must be met?

A
  1. Widespread pain index > 7
  2. Symptom severity scale > 5
  3. Symptoms present for > 3 months
    - - no other cause of pain
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7
Q

Besides the normal Fibromyalgia diagnostic criteria, what is another way to meet the diagnosis?

A

Widespread pain index: 3-6 and Symptom severity scale > 9

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8
Q

What are the main symptoms of Fibromyalgia?

A
  • Chronic widespread msk pain

- Fatigue/sleep disturbances

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9
Q

What are the main symptoms of Fibromyalgia?

A
  • Chronic widespread msk pain

- Fatigue/sleep disturbances

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10
Q

What are some associated symptoms with Fibromyalgia? (3)

A

Mood disorders
Headaches
GI issues

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11
Q

What is a common mood disorder with fibromyalgia?

A

Depression

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12
Q

What may be reflective of the CNS dysfunction with Fibromyalgia?

A

Sleep disturbances

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13
Q

Those with Fibromyalgia may have ____

A

Altered pain processing

– lower threshold

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14
Q

What is the main exam finding with Fibromyalgia?

A

Soft tissue tenderness with palpation

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15
Q

What is the main exam finding with Fibromyalgia?

A

Soft tissue tenderness with palpation

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16
Q

Is there inflammation present with Fibromyalgia?

A

NO

– exclude with cbc, esr, crp

17
Q

What is the first thing to do with your Fibromyalgia patients?

A

EDUCATE

    • reassure that their symptoms are not imaginary
    • symptoms will not spiral downward
    • can live a normal life
18
Q

Managing ____ may help manage Fibromyalgia symptoms

A

Managing mood

19
Q

What is the first treatment to consider with Fibromyalgia?

A

Exercise

20
Q

What should you tell your patient with Fibromyalgia about exercise?

A

It will be painful at first

- use stepwise approach and gradually increase

21
Q

What are examples of exercise that are helpful with Fibromyalgia?

A

Tai chi
Yoga
– All exercise really

22
Q

What drugs are strongly NOT used with Fibromyalgia?

A

Growth hormone

Sodium Oxybate

23
Q

What drugs are weakly NOT used with Fibromyalgia?

A

NSAIDs
MAOIs
SSRIs

24
Q

After Exercise is added for Fibromyalgia patients, what should be considered next for treatment?

A

Meditative movement therapies like acupuncture

25
Q

Correcting what vitamin deficiency may help treat Fibromyalgia?

A

Vitamin D

26
Q

Correcting what vitamin deficiency may help treat Fibromyalgia?

A

Vitamin D

27
Q

What OMT should you start with for Fibromyalgia?

A

Indirect MFR

28
Q

What OMT should you start with for Fibromyalgia?

A

Indirect MFR

29
Q

What may help with sleep for Fibromyalgia?

A

Cannabinoids

30
Q

Pharm options are used for what with Fibromyalgia?

A

Mood disorders

Severe pain and sleep disturbances

ECOS 4 (13 decks)

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