Fibromyalgia Flashcards
1
Q
What is the definition of fibromyalgia?
A
Chronic widespread pain for >3 months
2
Q
Risk factors of FMA?
A
+FH of rheumatoid disease
Depression
Age 20-60
Female
3
Q
Typical presentation?
A
50y/o woman presents with chronic pain for more than 3 months. She has diffuse tenderness and a +FH of RA. She also complains of fatigue and stiffness not helped by rest
4
Q
What are the areas that may be tender in FMA?
A
Neck Arms Buttocks Knee Side of leg
5
Q
What is the classification for diagnosis of FMA?
A
ACR classification
6
Q
What is the ACR classification?
A
> 3 months chronic pain
+ Tenderness in >11 spots
+ axial skeleton pain
7
Q
DDx?
A
Polymyalgia rheumatica
- Shows HIGH ESR on bloods
Lupus
8
Q
Treatment
A
TCAs
- Amitrytyline
Analgesia
- Naproxen
- Tramadol
