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Fibromyalgia, Emergency Medicine

Michael P. Wilson and Austin Hopper Reviewed 06/2017
 


Basics

Description

  • Nonarticular, noninflammatory form of muscular and joint pain more common in females:

    • Widespread pain from stimuli that do not normally cause pain (allodynia)

    • >11 diffuse tender poi...

Diagnosis

Signs and Symptoms

Widespread pain reported above the waist, below the waist, on the left side of the body, and on the right side of the body along with axial skeleton pain: 
  • Pain reported for...

Treatment

Ed Treatment/Procedures

  • Patient education and reassurance:

    • Emphasize that fibromyalgia is not life-threatening and does not reduce life expectancy.

    • Disorder is chronic but not crippling or defo...

Follow-Up

Disposition

Admission Criteria

  • Patients with serious underlying disease, intractable pain, or immunocompromised

  • Patients with suicidal ideation

Discharge Criteria

Patients with uncomplicated fibr...

Pearls and Pitfalls

As fibromyalgia patients can develop acute symptoms, distinguishing between acute and chronic pain is critical. 

Additional Reading

  • Ablin  JN, Buskila  D, Clauw  DJ. Biomarkers in fibromyalgia. Curr Pain Headache Rep.  2009;13(5):343–349.

  • Fitzcharles  MA, Yunus  MB. The clinical concept of fibromyalgia as a ...

Codes

ICD9

729.1 Myalgia and myositis, unspecified 

ICD10

M79.7 Fibromyalgia 

SNOMED

  • 95417003 primary fibromyalgia syndrome (disorder)

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