[Answered]: Patient M.K. is a 40 yo Asian female, who presents to

Patient M.K. is a 40 yo Asian female, who presents to her family care provider with generalized aches and pains and excessive fatigue that interrupts her daily routine. This has been going on for a few months. When asked about pain, she says it’s worse in her elbows, knees, and neck. She has tried applying both warm and cold therapies without relief. When the weather gets cold, she reports the pain worsens as well as when she’s immobile. Past Medical History: Migraines diagnosed 10 years ago History of sleep deprivation Traumatic left elbow dislocation, age 38 Pertinent Family History: Mother alive – 95 years with a history of rheumatoid arthritis, diabetes, tuberculosis Brother alive and healthy at 64 years Father alive and healthy at 88 years Sister alive – 60 years with a history of rheumatoid arthritis, fibromyalgia Sister alive – 56 years with a history of lupus Pertinent Social History: Kindergarten teacher for 15 years Hobbies include running, working out, and baking Questions (each multiple choice worth 15 points) Which of the following could be a differential diagnosis for fibromyalgia? (Select all that apply) a. Rheumatoid arthritis b. Osteogenesis Imperfecta c. Hypothyroidism d. Chronic Fatigue Syndrome (CFS) Which of the following is NOT a common symptom of fibromyalgia? a. Fatigue b. Joint and muscle pain c. Sensitivity to touch d. Skin rash What is a common tender point identified in a patient with fibromyalgia? a. Wrist b. Fingers c. Ankle d. Elbow What are some similarities between rheumatoid arthritis and fibromyalgia? a. Both change the way the nervous system and brain interpret pain b. Both result in pannus formation c. Both are categorized as autoimmune diseases d. Both cause joint pain and fatigue Which of the following diagnostic measures would be the most indicative of fibromyalgia? (Select all that apply) a. Widespread Pain Index (WPI) b. Complete Blood Count c. X-ray d. Symptom Severity Index (SSI) Provide 5 items for patient education for M.K. and the next steps you would take for her pain. (worth 25 points)