Fibromyalgia Flashcards
What is Fibromyalgia
Chronic widespread pain for 3 months w/ many causes
Like IBS but for MSK
What are the RF for Fibromyalgia
Stressed, depressed female
Poor
60+
What are the presentations of Fibromyalgia
Stressed Depressed old lady Fatigue Sleep disturbance Morning Stiffness Pain
What are the investigations for fibromyalgia
No Raised ESR/CRP
Pain at 11/18 regions
Pain in >11/18 palpated regions
How is Fibromyalgia treated
Patient education w/ physio
Antidepressants and CBT
What is Nocieptive pain
Pain caused by phyiscal stimuli
What is Non nocieptive pain
Neuropathic pain and CNS pain
This pathway is affected in fibromyalgia
Which pain pathway is affected in Fibromyalgia
Non Nocieptive
What is a differential for Fibromyalgia
Polymyalgia Rheumatica
What is Polymyalgia Rheumatica
Large cell vasculitis presenting as chronic pain of muscles and joints
What is the differential spotted in Polymyalgia Rheumatica that is not present in Fibromyalgia
Raised ESR AND CRP in PMR
Normal ESR and CRP in Fibromyalgia
How is PMR treated
Prednisolone
What would a temporal artery biopsy of PMR show
GCA
Main serological difference between PMR and Fibromyalgia
PMR = Raised ESR and CRP
Fibromyalgia = Normal ESR and CRP
