Fibromyalgia
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Fibromyalgia
Musculoskeletal system
Pediatric musculoskeletal conditions
Radial head subluxation (Nursemaid elbow)
Developmental dysplasia of the hip
Legg-Calve-Perthes disease
Slipped capital femoral epiphysis
Transient synovitis
Osgood-Schlatter disease (traction apophysitis)
Musculoskeletal injuries and trauma
Rotator cuff tear
Dislocated shoulder
Radial head subluxation (Nursemaid elbow)
Winged scapula
Thoracic outlet syndrome
Carpal tunnel syndrome
Ulnar claw
Erb-Duchenne palsy
Klumpke paralysis
Iliotibial band syndrome
Unhappy triad
Anterior cruciate ligament injury
Patellar tendon rupture
Meniscus tear
Patellofemoral pain syndrome
Sprained ankle
Achilles tendon rupture
Spondylolysis
Spondylolisthesis
Degenerative disc disease
Spinal disc herniation
Sciatica
Compartment syndrome
Rhabdomyolysis
Bone disorders
Osteogenesis imperfecta
Craniosynostosis
Pectus excavatum
Arthrogryposis
Genu valgum
Genu varum
Pigeon toe
Flat feet
Club foot
Cleidocranial dysplasia
Achondroplasia
Osteomyelitis
Bone tumors
Osteochondroma
Chondrosarcoma
Osteoporosis
Osteomalacia and rickets
Osteopetrosis
Paget disease of bone
Osteosclerosis
Lordosis, kyphosis, and scoliosis
Joint disorders
Osteoarthritis
Spondylosis
Spinal stenosis
Rheumatoid arthritis
Juvenile idiopathic arthritis
Gout
Calcium pyrophosphate deposition disease (pseudogout)
Psoriatic arthritis
Ankylosing spondylitis
Reactive arthritis
Spondylitis
Septic arthritis
Bursitis
Baker cyst
Muscular disorders
Muscular dystrophy
Polymyositis
Dermatomyositis
Inclusion body myopathy
Polymyalgia rheumatica
Fibromyalgia
Rhabdomyosarcoma
Neuromuscular junction disorders
Myasthenia gravis
Lambert-Eaton myasthenic syndrome
Other autoimmune disorders
Sjogren syndrome
Systemic lupus erythematosus
Mixed connective tissue disease
Antiphospholipid syndrome
Raynaud phenomenon
Scleroderma
Limited systemic sclerosis (CREST syndrome)
Musculoskeletal system pathology review
Back pain: Pathology review
Rheumatoid arthritis and osteoarthritis: Pathology review
Seronegative and septic arthritis: Pathology review
Gout and pseudogout: Pathology review
Systemic lupus erythematosus (SLE): Pathology review
Scleroderma: Pathology review
Sjogren syndrome: Pathology review
Bone disorders: Pathology review
Bone tumors: Pathology review
Myalgias and myositis: Pathology review
Neuromuscular junction disorders: Pathology review
Muscular dystrophies and mitochondrial myopathies: Pathology review
Assessments
Fibromyalgia
Flashcards
0 / 6 complete
USMLE® Step 1 questions
0 / 1 complete
High Yield Notes
13 pages
Flashcards
Fibromyalgia
of complete
Questions
USMLE® Step 1 style questions USMLE
of complete
| Laboratory value | Result |
| Hemoglobin | 14.8 g/dL |
| Leukocyte | 7,800/mm3 |
| Erythrocyte sedimentation rate (ESR) | 7 mm/h |
| Serum creatinine kinase | 27 U/L |
| Antinuclear antibodies | Negative |
Which of the following additional findings would most likely be found in this patient?
Memory Anchors and Partner Content
External References
First Aid
2022
2021
2020
2019
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2017
2016
Anticonvulsant drugs
for fibromyalgia p. 480
Antidepressant drugs p. 598-599
for fibromyalgia p. 480
Fibromyalgia p. 481
Serotonin-norepinephrine reuptake inhibitors (SNRIs)
fibromyalgia p. 480
Tricyclic antidepressants (TCAs) p. 599
fibromyalgia p. 480
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Transcript
Contributors
Sam Gillespie, BSc
The term fibromyalgia can be broken down. Fibro- refers to fibrous tissue, -my- refers to muscle and -algia refers to pain.
Fibromyalgia is a chronic condition, which occurs more often in women, that causes widespread muscle pain, extreme tenderness in various parts of the body, and sleep disturbances.
Normally, if a person cuts their finger, a specific type of sensory neuron called a nociceptor or pain receptor, converts that stimulus into an electrical signal.
These are the first neurons and they’re primarily found in the skin, joints, or the walls of organs.
The electrical signal goes from the dendrite of the nociceptor into its peripheral axon branch and heads up the hand and arm towards its cell body.
The cell body is located in the dorsal root ganglion which is a cluster of nerve cell bodies located in a dorsal root of the spinal nerve.
The dorsal root ganglia contains the cell bodies of many sensory neurons that receive information.
So in this case, the cell body would receive the electrical signal, and if it’s strong enough, it would start to release substance P, which is a small chemical involved in pain perception.
Substance P would go down the other axon branch of the nociceptor and would get released from the neuron’s terminal button.
Substance P then binds to receptors on a second neuron which has its cell body located in the dorsal horn of the spinal cord, which makes up the back portion of the spinal cord that receives sensory information.
There is also a separate group of neurons called inhibitory neurons in the spinal cord that dampen or reduce the pain response, counteracting the effect of nociceptors.
These inhibitory neurons release neurotransmitters such as serotonin and norepinephrine and they also act on the second neuron in the spinal cord to inhibit the pain signal.
Sources
- "Robbins Basic Pathology" Elsevier (2017)
- "Role of Nerve Growth Factor in Pain" Pain Control (2015)
- "Spinal Cord Mechanisms of Chronic Pain and Clinical Implications" Current Pain and Headache Reports (2010)
- "Fibromyalgia Syndrome: Etiology, Pathogenesis, Diagnosis, and Treatment" Pain Research and Treatment (2012)
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