Regional pain disorders

Question 1

Fibromyalgia- Eti

Answer 1

Unknown, one of most common rheum diseases, non progressive

Question 2

Fibromyalgia- Sx

Answer 2

Trigger points of pain- trapezius, medial fat pad of knee, lateral epicondyle of elbow + fatigue, numbness, HA, IBS

Question 3

Fibromyalgia- Dx

Answer 3

Clinical- exclude thyroid, polymyositis, polymyalgia

Question 4

Fibromyalgia- Tx

Answer 4

CBT, exercise, amtriptyline

Question 5

Complex regional pain syndrome- Eti

Answer 5

Preceeded by minor physical trauma, rare autonomic and vasomotor instability disorder

Question 6

Complex regional pain syndrome- Sx

Answer 6

Local pain, extremity swelling, color & temp disturbances in affected limb, often affects hand, limited ROM, skin & nail dystrophy

Question 7

Complex regional pain syndrome- Dx

Answer 7

Severe generalized osteopneia on x-ray, bone scan

Question 8

Complex regional pain syndrome- Tx

Answer 8

Nortripyline, gabapentin, NSAIDs, PT, nerve blocks

Question 9

Chronic fatigue syndrome- Eti

Answer 9

Lifetime fatigue is 25%, 3 major components- generalized weakness, ways fatigue ability, mental fatigue

Question 10

Chronic fatigue syndrome- Sx

Answer 10

Weight loss, fever, sleep disordered breathing, medications- Must have 4+ symptoms > 6 months: impaired memory, sore throat, tender lymph nodes, muscle pain, mutijoint pain, new headaches, unrefreshing sleep, post exertion malaise.

Question 11

Chronic fatigue syndrome-Dx

Answer 11

Lots of labs & imaging to rule out everything else

Question 12

Chronic fatigue syndrome-Tx

Answer 12

CBT, exercise, manage coexisting disorders