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Fibromyalgia

 Syn. FM

Signs & Symptoms

 Poor sleep
Ref: Uptodate [ Clinical manifestations and diagnosis of fibromyalgia in adults] Harrison [ 2636] Epocrates [ https://www.epocrates.com/online/diseases/187/fibromyalgia#history-exam]
Morning fatigue
Ref: Uptodate [ Clinical manifestations and diagnosis of fibromyalgia in adults] Harrison [ 2636]
Widespread musculoskeletal pain
Ref: Uptodate [ Clinical manifestations and diagnosis of fibromyalgia in adults] Harrison [ 2636]
Fatigue
Ref: Uptodate [ Clinical manifestations and diagnosis of fibromyalgia in adults] Harrison [ 2636] Epocrates [ https://www.epocrates.com/online/diseases/187/fibromyalgia#highlights-basics]

Physical Examination

 Tenderness of the soft tissue
Ref: Uptodate [ Clinical manifestations and diagnosis of fibromyalgia in adults]
Trapezius muscle tenderness
Ref: Uptodate [ Clinical manifestations and diagnosis of fibromyalgia in adults]
Lateral epicondyle tenderness
Ref: Uptodate [ Clinical manifestations and diagnosis of fibromyalgia in adults]

Lab / Serology

 Hypercalcemia (negative symptom)
Ref: Uptodate [ Differential diagnosis of fibromyalgia]
Positive blood culture (negative symptom)
Ref: Uptodate [ Differential diagnosis of fibromyalgia]
Elevated creatine kinase
Ref: Uptodate [ Clinical manifestations and diagnosis of fibromyalgia in adults]

Imagin Study

 Abnormal EMG (negative symptom)
Ref: Uptodate [ Differential diagnosis of fibromyalgia]
Abnormal NCV (negative symptom)
Ref: Uptodate [ Differential diagnosis of fibromyalgia]

Complication

 Chronic elbow pain
Ref: Uptodate [ Clinical manifestations and diagnosis of fibromyalgia in adults]
Chronic low back pain
Ref: Uptodate [ Clinical manifestations and diagnosis of fibromyalgia in adults]

Risk Factors

 Female
Ref: Uptodate [ Clinical manifestations and diagnosis of fibromyalgia in adults]
Age between 20 and 60
Ref: Epocrates [ https://www.epocrates.com/online/diseases/187/fibromyalgia#risk-factors]

Cause

Other