Introducing
Your new presentation assistant.
Refine, enhance, and tailor your content, source relevant images, and edit visuals quicker than ever before.
Trending searches
EXERCISE 15: CASE NO. 1
3
HPI: A "clammy feeling" in her lower legs, periods of being suddenly to hot or cold, pain in the epigastric area, difficulty sleeping, fatigue and depression.
Subjective Data
Signs and Symptoms
Px Info: 50 years old woman
Chronic widespread pain, fatigue, sleep disturbance, and allodynia, tingling of the skin, muscle spasms, weakness of the limbs, palpitations, cognitive dysfunctions (fibrofog), anxiety and depressive symptoms
CC: Hurting all over and extreme fatigue
PMH: For over 3 years, she got the same response to 5 other physicians such as pain, swelling, stiffness and fatigue.
Assessment
Medical Terminologies
Pre-disposing factors
Genetics
Fibromyalgia is a chronic pain syndrome that is associated with a variety of symptoms including widespread pain, tenderness, pain, fatigue and sleep disturbances.
Etiology
Lifestyle
The patient, a 50-year old woman made an appointment with a family doctor because she couldn't work full time at her job. Her main complaints were "hurting all over" and extreme fatigue. The doctor examined her and ordered a blood test for RA. When she came back negative, he suggested a new diet and some stress management techniques. Pie pain, swelling and fatigue remained but with visits to 5 other physicians over 3 years, she got essentially the same response as with the first one. Because more symptoms occur, she made an appointment with a new doctor and told him of "hurting all over", a clammy feeling in her lower legs, peroids of being suddenly too hot or cold, pain in the epigastric area, diffciculty sleeping, fatigue and depression. Her temperature and BP are normal but when the RA test came back negative. The diagnosis was fibromyalgia. The doctor prescribed medication to the help of patient sleep at night, dietary restriction to caffeine and alcohol and regular exercise. Within a few days, the treatment brought the symptoms under control and the woman was able to work full time again.
Plan
Depression
Medication
Pregabalin and Gabapentin
- The cause of fibromyalgia is unknown.
- Dopamine dysfunction
- Serotonin metabolism
- Polymodal sensitivity
Duloxetine
Opioids such as Tramadol
Ropinirole and Pramipexole
Objective Data
Temperature: Normal
Blood Pressure: Normal
Rheumatoid Arthritis Test: Negative