U.C.L.A. Rheumatology Pathophysiology of Disease Course Lecture, Second Year Medical School 2005
 
 
 
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Fibromyalgias    Page 28
  
 
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The diagnosis, symptom complex, and clinical significance of fibromyalgia is discussed.
Animation: Fibromyalgia : The diagnosis, symptom complex, and clinical significance of fibromyalgia is discussed.
Animation: Fibromyalgia : The diagnosis, symptom complex, and clinical significance of fibromyalgia is discussed.
Animation: Fibromyalgia : The diagnosis, symptom complex, and clinical significance of fibromyalgia is discussed.
 
       
Slide 1: "Fibromyalgia and Rheumatism Classification " 400 x 267 pixels 23kb done in CorelDraw Slide 2: "Fibromyalgia Subjective Complaints " 400 x 300 pixels 34kb done in CorelDraw Slide 3: "Fibromyalgia Symptom Intensity " 400 x 300 pixels 23kb done in CorelDraw
Click Picture or here for larger slides (720 x 480 ) 48kb Click Picture or here for larger slides (720 x 480 ) 43kb Click Picture or here for larger slides (800 x 500 ) 63kb
       This is a good point in our discussion to describe a very common condition, which can be easily confused with RA or SLE. The syndrome of fibromyalgia is generalized noninflammatory rheumatism. Patients complain of generalized pain, as much in the muscles as in the joints, they sleep poorly, and feel un rested in the morning, and fatigued throughout the day. Forty percent state that they have swollen joints.
        Interestingly, there are several other associated syndromes such as migraine headaches, TMJ, costochondritis, MVP, IBS, PMS, and irritable bladder, to name a few. These patients are not malingering. Their symptoms stem from a neurotransmitter disturbance, and are quite convincing.
        The image shows various specialists dealing with these syndromes, quite possibly in the same patient. Unnecessary studies, and dangerous treatments that are not indicated are frequently ordered. But on the physical exam, you will find only characteristic tender points. There will be no signs of inflammation, or other evidence for immune attack. Lab studies are all normal.
   
     
Slide 4: "Fibromyalgia and Tender or Trigger Points " 400 x 300 pixels 25kb done in CorelDraw Slide 5: "Fibromyalgia and the Blind Doctors " 400 x 300 pixels 25kb done in CorelDraw
Click Picture or here for larger slides (800 x 500 ) 57kb Click Picture or here for larger slides (800 x 600 ) 66kb
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