Diferencia entre revisiones de «Fibromyalgia»
Sin resumen de edición |
Sin resumen de edición |
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| (No se muestran 2 ediciones intermedias de 2 usuarios) | |||
| Línea 1: | Línea 1: | ||
==Background== | ==Background== | ||
* A disorder of pain regulation, sometimes classified as a kind of central sensitization | *A disorder of pain regulation, sometimes classified as a kind of central sensitization | ||
* Chronic musculoskeletal pain not explained by another systemic disorder | *Chronic musculoskeletal pain not explained by another systemic disorder | ||
* More common in women than men | *More common in women than men | ||
==Clinical Features== | ==Clinical Features== | ||
* Chronic musculoskeletal pain | *Chronic musculoskeletal pain | ||
* Insomnia | *[[Insomnia]] | ||
* Fatigue | *[[Fatigue]] | ||
* Decreased concentration | *Decreased concentration | ||
* Headache | *[[Headache]] | ||
* | *[[Paresthesias]] | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
*[[Rheumatoid arthritis]] | *[[Rheumatoid arthritis]] | ||
* | *[[Sjögren Syndrome]] | ||
* Systemic lupus erythematosus | *[[Systemic lupus erythematosus]] | ||
* Ankylosing spondylitis | *[[Ankylosing spondylitis]] | ||
* | *Myopathies: metabolic or statin-induced | ||
* Myasthenia gravis | *[[Myasthenia gravis]] | ||
* Myofascial pain syndrome | *Myofascial pain syndrome | ||
* Multiple sclerosis | *[[Multiple sclerosis]] | ||
* Psychiatric disorders | *Psychiatric disorders | ||
==Evaluation== | ==Evaluation== | ||
*Clinical diagnosis | |||
==Management== | ==Management== | ||
* [[Tricyclic antidepressants]] | *[[Tricyclic antidepressants]] | ||
* Select SNRIs ([[duloxetine]], [[venlafaxine]], [[milnacipran]]) | *Select SNRIs ([[duloxetine]], [[venlafaxine]], [[milnacipran]]) | ||
* [[Anticonvulsants]] ([[pregabalin]], [[gabapentin]]) | *[[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