history of intermittent fatigue, headach meduploader - 05-06-09 05:40
A 31 year old female executive presented with a 12 year history of intermittent fatigue, headaches, neck pain, "
aching all over," particularly in the morning and generalized stiffness. She notes that the fatigue is extreme on
waking and she wakes feeling poorly refreshed. The patient believed that her joints have been swollen on
occasions. The fatigue has become so severe that she has found that she is unable to work and wants to go
onto disability. Her symptoms are unrelieved by NSAID. Post history includes a prior diagnosis of irritable bowel
syndrome and tension headaches. Physical examination revealed: Anxious white female. No evidence of
synovitis. Numerous " tender points" in trapezius, sternomastoid, upper anterior chest wall. Overthe greater
trochanter, over the lateral epicondyles above the ankles. The best way to establish the diagnosis is:
The correct answer and explanation will be available after you answer.
Page 1
#1
Re: history of intermittent fatigue, hea usmlefever3 - 05-06-09 09:34
My answer is: b.
#2
Re: history of intermittent fatigue, hea angella - 05-30-09 20:04
My answer is: b.
#3
Re: history of intermittent fatigue, hea 84ahsan - 06-01-09 15:48
My answer is: e.
#4
Re: history of intermittent fatigue, hea shahprasun - 06-02-09 13:45
My answer is: e.
#5
Re: history of intermittent fatigue, hea omojesu - 06-12-09 02:51
My answer is: d.
polymyalgia rheumatica
#6
Re: history of intermittent fatigue, hea nona76 - 06-12-09 10:29
My answer is: a.
#7
Re: history of intermittent fatigue, hea docraj - 06-13-09 18:40
My answer is: b.
#8
Re: history of intermittent fatigue, hea caraga - 06-14-09 13:24
My answer is: e.
#9
Re: history of intermittent fatigue, hea crazyserb - 06-15-09 01:45
My answer is: b.
#10
Re: history of intermittent fatigue, hea petitbebe - 06-15-09 04:23
My answer is: a.
#11
Re: history of intermittent fatigue, hea samer06 - 06-15-09 13:14
My answer is: d.
#12
Re: history of intermittent fatigue, hea conym5 - 06-17-09 01:32
My answer is: e.
#13
Re: history of intermittent fatigue, hea reksarma - 09-29-09 10:02
My answer is: e.
#14
Re: history of intermittent fatigue, hea dinmenace - 09-29-09 10:15
My answer is: e.
#15
Re: history of intermittent fatigue, hea mtniharika - 09-29-09 13:30
My answer is: b.
#16
Re: history of intermittent fatigue, hea ajitelaprolu - 09-30-09 12:23
My answer is: e.
#17
Re: history of intermittent fatigue, hea amaniagz - 10-07-09 18:43
My answer is: a.
#18
Re: history of intermittent fatigue, hea ysemak - 10-22-09 12:32
My answer is: e.
#19
Re: history of intermittent fatigue, hea ramarao - 10-26-09 22:23
My answer is: e.
#20
Re: history of intermittent fatigue, hea aetmike - 10-27-09 02:06
My answer is: b.
#21
Re: history of intermittent fatigue, hea drdinz - 10-27-09 21:59
My answer is: b.
#22
Re: history of intermittent fatigue, hea vernette - 11-06-09 15:49
My answer is: a.
#23
Re: history of intermittent fatigue, hea dadukids - 12-07-09 04:10
My answer is: b.
#24
Re: history of intermittent fatigue, hea virenbjmc - 12-07-09 10:28
My answer is: e.
#25
Re: history of intermittent fatigue, hea jordanrobin - 12-07-09 11:18
My answer is: a.
#26
Re: history of intermittent fatigue, hea tianjin - 12-08-09 23:00
My answer is: a.
#27
Re: history of intermittent fatigue, hea eugenio - 12-12-09 10:20
My answer is: a.
#28
Re: history of intermittent fatigue, hea nandi85 - 12-13-09 12:22
My answer is: a.
#29
Re: history of intermittent fatigue, hea shwethinzar07 - 12-13-09 12:27
My answer is: a.
#30
Re: history of intermittent fatigue, hea medusmle01 - 12-16-09 01:24
My answer is: b.
#31
Re: history of intermittent fatigue, hea badrh4sse5n - 12-17-09 17:13
My answer is: e.
#32
Re: history of intermittent fatigue, hea demolition - 12-21-09 11:27
My answer is: e.
#33
Re: history of intermittent fatigue, hea masroor - 12-21-09 12:49
My answer is: b.
#34
Re: history of intermittent fatigue, hea medic - 12-22-09 06:52
My answer is: a.
#35
Re: history of intermittent fatigue, hea oldman - 01-11-10 07:26
My answer is: e.
#36
Re: history of intermittent fatigue, hea tahiraraees - 02-08-10 14:57
My answer is: e.
#37
Re: history of intermittent fatigue, hea drbasim - 02-10-10 13:48
My answer is: d.
#38
Re: history of intermittent fatigue, hea drumesh - 02-11-10 09:05
My answer is: e.
#39
Re: history of intermittent fatigue, hea shahra - 02-12-10 03:48
My answer is: e.
#40
Re: history of intermittent fatigue, hea ammulufy - 03-20-10 20:04
My answer is: b.
The ptnt is presenting a picture of fibrous myalgia and hence muscle biopsy would do the job.
#41
Re: history of intermittent fatigue, hea dreguieg - 03-20-10 20:36
My answer is: a.
#42
Re: history of intermittent fatigue, hea enas3110 - 03-25-10 18:30
My answer is: a.
#43
Re: history of intermittent fatigue, hea dana44 - 04-01-10 13:28
My answer is: b.
#44
Re: history of intermittent fatigue, hea nsedhom - 04-13-10 21:54
My answer is: a.
#45
Re: history of intermittent fatigue, hea fugeran - 04-23-10 14:00
My answer is: e.
#46
Re: history of intermittent fatigue, hea therockbigfight - 04-25-10 11:39
My answer is: e.
#47
Re: history of intermittent fatigue, hea residencyrace - 05-30-10 10:04
My answer is: c.
#48
Re: history of intermittent fatigue, hea wanali - 12-02-10 14:42
My answer is: a.
#49
Re: history of intermittent fatigue, hea shez143 - 12-02-10 15:47
My answer is: c.
#50
Re: history of intermittent fatigue, hea aditya - 12-11-10 15:21
My answer is: e.
#51
Re: history of intermittent fatigue, hea drnomanpk - 12-13-10 16:26
My answer is: a.
#52
Re: history of intermittent fatigue, hea mtop10 - 12-20-10 09:54
My answer is: e.
#53
Re: history of intermittent fatigue, hea masoodwajidi - 12-20-10 14:07
My answer is: e.
#54
Re: history of intermittent fatigue, hea ksjanjua - 12-23-10 00:56
My answer is: d.
#55
Re: history of intermittent fatigue, hea nadjia - 12-25-10 11:06
My answer is: d.
#56
Re: history of intermittent fatigue, hea sudha2015 - 12-25-10 18:45
My answer is: a.
#57
Re: history of intermittent fatigue, hea rescue2011 - 04-11-11 19:31
My answer is: a.
#58
Re: history of intermittent fatigue, hea sweet12 - 04-13-11 22:53
My answer is: b.
#59
Re: history of intermittent fatigue, hea drinnocentevil - 04-14-11 09:28
My answer is: a.
#60
Re: history of intermittent fatigue, hea drsharma2031 - 04-14-11 10:40
My answer is: b.
#61
Re: history of intermittent fatigue, hea anjalistha - 04-14-11 16:15
My answer is: e.
#62
Re: history of intermittent fatigue, hea snehajudah - 04-16-11 08:19
My answer is: e.
#63
Re: history of intermittent fatigue, hea sudha2015 - 04-18-11 04:32
none of the above
#64
Re: history of intermittent fatigue, hea drmonia57 - 10-13-11 09:03
My answer is: e.
#65
Re: history of intermittent fatigue, hea victoria12 - 10-17-11 12:01
My answer is: d.
#66
Re: history of intermittent fatigue, hea chowdhury84 - 12-22-11 18:11
My answer is: e.
#67
Re: history of intermittent fatigue, hea shaiza - 04-03-12 13:41
My answer is: e.
#68
Re: history of intermittent fatigue, hea hassan123 - 04-03-12 13:51
My answer is: e.
#69
Re: history of intermittent fatigue, hea theinsan - 05-22-12 00:13
meduploader - 05-06-09 05:40
