A 28-year-old graduate student comes to your clinic for evaluation of pain “all over.
There are a few possibilities for the graduate student’s pain, but the most likely cause is fibromyalgia. Fibromyalgia is a condition that is characterized by pain in the muscles and joints. It is often worse in the morning and can be aggravated by stress. There is no cure for fibromyalgia, but treatment can help to manage the symptoms.
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A 28-year-old graduate student comes to your clinic for evaluation of pain “all over.” With further questioning, she is able to relate that the pain is worse in the neck, shoulders, hands, low back, and knees. She denies swelling in her joints. She states that the pain is worse in the morning. There is no limitation in her range of motion. On physical examination, she has several points on the muscles of the neck, shoulders, and back that are tender to palpation. Muscle strength and range of motion are normal. Which one of the following is likely the cause of her pain?
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