fibromyalgia Flashcards
1
Q
what is fibromyalgia?
A
Persistent widespread muscoloskeletal pain, stiffness, disrupted unrefreshing sleep, easy fatigability, paresthesia, accompanied by multiple painful tender points widely and symmetrically distributed
2
Q
diagnosis
A
(1) a history of widespread pain lasting > 3 months
(2) pain (not just tenderness) in at least 11 of the 18 tender point sites on digital palpation
3
Q
how do fibromyalgia pts present?
A
- pain all over
- fatigue
- poor sleep
- cognitive impairment
4
Q
PE findings for fibromyalgia
A
Specific sites or points of pain—more tender or painful than the same sites in normal persons
5
Q
how to dx fibromyalgia?
A
- avoid excessive tests
- empathy
- exercise
- reduce stress
- SSRI/SNRI/NSAIDs
6
Q
main meds for fibromyalgia
A
Milnacipran (Savella)
Duloxetine (Cymbalta)
7
Q
what are some anti-convulsants
A
gabapentin (Neurontin)
tiagabine (Gabitril)
pregabalin (Lyrica)
