Fibromyalgia

Question 1

Fibromyalgia is the MSK equivalent of ___

Answer 1

IBS

Question 2

Fibromyalgia is chronic widespread pain (MSK) for _+ month with all other causes ruled out

Answer 2

3+

Question 3

What are risk factors for fibromyalgia?

Answer 3

Female
Depression
Stress
Poor
60+

Question 4

What are symptoms of fibromyalgia?

Answer 4

Stressed depressed female over 60
Fatigue
Sleep disturbance
Morning stiffness (especially back and neck)
Pain

Question 5

How do you diagnose fibromyalgia?

Answer 5

There are no serological markers
No raised ESR or CRP
Pain in 11+ out of 18 regions palpated

Question 6

How do you treat and manage fibromyalgia?

Answer 6

Educate the patient
Physiotherapy
Antidepressants for severe neuropathic pain
CBT

Question 7

What is a differential diagnosis for fibromyalgia?

Answer 7

Polymyalgia Rheumatica (PMR)

Question 8

What is polymyalgia Rheumatica?

Answer 8

Large cell vasculitis presenting as chrome pain syndrome affecting muscles and joints.
Patients always over 50 y/o

Question 9

How does polymyalgia rheumatica present?

Answer 9

Pain and stiffness in the shoulders, pelvic girdle and neck.

Worse in the morning, after rest or inactivity. Interferes with sleep.

Question 10

How do you diagnose polymyalgia rheumatica?

Answer 10

Raised ESR and CRP
(temporal artery biopsy may show GCA, and may have anaemia of chronic disease)

Question 11

How do you treat polymyalgia rheumatica?

Answer 11

Oral prednisolone for 1-2 years