Fibromylagia and chronic fatigue syndrome Flashcards
1
Q
Diagnosis of fibromyalgia
A
Diagnosis of exclusion
Chronic and widespread pain
Profound fatigue
Worse with minimal physical exertion
2
Q
Features of fibromyalgia
A
Unrefreshing sleep Morning stiffness Paraesthesia Poor concentration Headache Low mood
3
Q
Management of fibromyalgia
A
Graded exercise programme - hydrotherapy effective
CBT
Low dose amitriptyline at night, pregabalin second line
Duloxetine or SSRI for comorbid anxiety or depression
4
Q
Diagnosis of chronic fatigue syndrome
A
Disabling fatigue >6 moths effecting mental and physical function AND at least 4 of: Myalgia Polyarthralgia Memory loss Unrefreshing sleep Fatigue 24 hours post exertion Persistent sore throat Tender lymph nodes
5
Q
Management of chronic fatigue syndrome
A
Graded exercise
CBT
