Fibromyalgia Flashcards
1
Q
Typical patient
A
Women 40-50
2
Q
Pathophysiology
A
Increased sensitisation to pain centrally. Neurological Pain response stimulated in response to non-painful stimuli.
Usually due to induced sleep deprivation.
3
Q
Symptoms
A
Tender points
Joint pain, stiffness
Fatigue
Depression
Anxiety
‘Fibrofog’ (Memory problems)
IBS
Numbness
Headaches
4
Q
Investigations
A
Anti CCP, RF, ANA, Anti Ds-DNA, Anti Ro/La
CRP, ESR, PV
TFT
U&E
5
Q
Treatment
A
- Patient education
- Improve sleep/ activity
- CBT
- Amitriptyline/ Pregabalin