Shared Flashcard Set

Details

Fibromyalgia
Pretty much anything and everything
20
Other
Not Applicable
11/04/2012

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Cards

Term
characterized by widespread muscular pain, fatigue and muscle tenderness
Definition
Fibromyalgia
Term
classification of fibromyalgia: widespread pain
Definition
more than 3 months
Term
classification of fibromyalgia: pain
Definition
must be in 11 of 18 tender point sites on digital palpation
Term
classification of fibromyalgia: pain on tender points with
Definition
approximate force of 4 kg
Term
Pain commonly occurs
Definition
neck, upper back, lower back, shoulders, chest, rib cage, thighs
Term
pain characteristics
Definition
burning, gnawing, throbbing, stabbing, aching sensation
Term
some common signs/symptoms
Definition
irritable bladder, sleep disturbances, H/A, flu like symptoms, TMJ, etc
Term
cognitive and memory problems
Definition
fibro fog
Term
restless leg syndrome, dry eyes and dry mouth, morning stiffness, numbness and tingling in fingers and toes
Definition
common S/S of fibromyalgia
Term
Females are affected more frequently than males
Definition
4 times
Term
High levels in some patients possible cause/risk fibromyalgia
Definition
Substance P in spinal fluid
Term
Substance P
Definition
"volume control" - important in transmission and amplification of pain signals to and from brain
Term
Amitriptyline, Cyclobenzaprine, tramadol, SSRIs, SNRIs, Pregabalin, Gabapentin
Definition
Best efficacy
Term
Growth hormone, 5-hydroxytrptamine, tropisetron, SAMe, Magnesium
Definition
Weak efficacy
Term
thyroid hormone, non-benzodiazepine hypnotics/BRAs, benzodiazepines, opioids, NSAIDs, melatonin, DHEA
Definition
No efficacy
Term
Cymbalta and Lyrica
Definition
demonstrated to help reduce pain and improve function
Term
nausea, dry mouth, drowsiness, increased sweating, palpitations
Definition
Cymbalta
Term
drowsiness, dizziness, dry mouth, weight gain, swollen arms//legs, difficulty concentrating
Definition
Lyrica
Term
Do not take Cymbalta if on
Definition
MAOI
Term
If you have uncontrolled narrow-angle glaucoma or on thioridazine, do not take:
Definition
Cymbalta
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