Fibromyalgia Flashcards

1
Q

Typical patient

A

Women 40-50

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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.

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3
Q

Symptoms

A

Tender points
Joint pain, stiffness
Fatigue
Depression
Anxiety
‘Fibrofog’ (Memory problems)
IBS
Numbness
Headaches

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4
Q

Investigations

A

Anti CCP, RF, ANA, Anti Ds-DNA, Anti Ro/La
CRP, ESR, PV
TFT
U&E

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5
Q

Treatment

A
  1. Patient education
  2. Improve sleep/ activity
  3. CBT
  4. Amitriptyline/ Pregabalin
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