Diferencia entre revisiones de «Fibromyalgia»
Sin resumen de edición |
Sin resumen de edición |
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| (No se muestran 4 ediciones intermedias de 4 usuarios) | |||
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==Background== | ==Background== | ||
*A disorder of pain regulation, sometimes classified as a kind of central sensitization | |||
*Chronic musculoskeletal pain not explained by another systemic disorder | |||
*More common in women than men | |||
==Clinical Features== | ==Clinical Features== | ||
*Chronic musculoskeletal pain | |||
*[[Insomnia]] | |||
*[[Fatigue]] | |||
*Decreased concentration | |||
*[[Headache]] | |||
*[[Paresthesias]] | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
*[[Rheumatoid arthritis]] | |||
*[[Sjögren Syndrome]] | |||
*[[Systemic lupus erythematosus]] | |||
*[[Ankylosing spondylitis]] | |||
*Myopathies: metabolic or statin-induced | |||
*[[Myasthenia gravis]] | |||
*Myofascial pain syndrome | |||
*[[Multiple sclerosis]] | |||
*Psychiatric disorders | |||
==Evaluation== | ==Evaluation== | ||
*Clinical diagnosis | |||
==Management== | ==Management== | ||
*[[Tricyclic antidepressants]] | |||
*Select SNRIs ([[duloxetine]], [[venlafaxine]], [[milnacipran]]) | |||
*[[Anticonvulsants]] ([[pregabalin]], [[gabapentin]]) | |||
*Exercise program | |||
==Disposition== | ==Disposition== | ||
*Discharge | |||
==See Also== | ==See Also== | ||
Revisión actual - 02:30 3 oct 2019
Background
- A disorder of pain regulation, sometimes classified as a kind of central sensitization
- Chronic musculoskeletal pain not explained by another systemic disorder
- More common in women than men
Clinical Features
- Chronic musculoskeletal pain
- Insomnia
- Fatigue
- Decreased concentration
- Headache
- Paresthesias
Differential Diagnosis
- Rheumatoid arthritis
- Sjögren Syndrome
- Systemic lupus erythematosus
- Ankylosing spondylitis
- Myopathies: metabolic or statin-induced
- Myasthenia gravis
- Myofascial pain syndrome
- Multiple sclerosis
- Psychiatric disorders
Evaluation
- Clinical diagnosis
Management
- Tricyclic antidepressants
- Select SNRIs (duloxetine, venlafaxine, milnacipran)
- Anticonvulsants (pregabalin, gabapentin)
- Exercise program
Disposition
- Discharge