Fibromyalgia Flashcards
what is fibromyalgia?
a chronic fatigue with generalized muscle aching, stiffness, sleep disturbances, functional impairment, flu like symptoms
fibromyalgia is described as
volume control setting for pain abnormally high
diagnositic criteria
region of pain
fatigue
“brain fog”
unrefreshed sleep
what is checked for first before diagnosis of before Fibromyalgia diagnosis
obstructive sleep apnea
thyroid functions
hepatisis
what lab is elevated with fibromyalgia
elevated ESR or CR protein
medical management of fibromyalgia
NSAIDs for muscle ache and stiffness
TCAs and sleep hygiene measures to restore normal sleep patterns
Cognitive behavioral therapy to restore normal sleep and attentional dysfunction
SSRIS
anticonvulsants
exercise
CAM therapy
no exercising for a patient w fibromyalgia can cause what?
deconditioning and a worsened condition
pt teaching for pt w fibromyaglia
avoid caffeine and alcohol late in the day
limit day time naps
avoid exercise w/ 3hrs of bed relaxation for sleep
what is chronic fatigue syndrome
debilitating disorder characterized by extreme fatigue or tiredness that does not go away with rest and cannot be explained by underlying medical conditions
CFS can also be referred to as
myalgic encephalomyelitis
systemic exertion intolerance disease
cause of CFS
unknown- could be viral or psychological stress or a combination of factos
clinical manifestations of CFS
sudden onset, viral like illness, enlarged lymph nodes, extreme fatigue, fever, upper respiratory symptoms
severe fatigue
symptoms of depression
low grade fever
cognitive disturbances- head ache, sleep disturbances, muscle pain
physical exam is normal
diagnostic criteria for CFS
loss of memory or concentration
feeling unrefreshed after a nights sleep
chronic insomnia
muscle pain
frequent h/a
multi-joint pain with out redness or swilling pain
medical treatment of CFS
symptom management
over years with minimal improvement
cognitive and behavioral improvement helpful
sleep disturbance- relaxation techniques and sleep hygiene
homeopathy and supplements (fatty acids and magnesium)
treated= better outcomes
