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	<id>https://idwiki.org/index.php?action=history&amp;feed=atom&amp;title=Fibromyalgia</id>
	<title>Fibromyalgia - Revision history</title>
	<link rel="self" type="application/atom+xml" href="https://idwiki.org/index.php?action=history&amp;feed=atom&amp;title=Fibromyalgia"/>
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	<updated>2026-05-13T00:56:24Z</updated>
	<subtitle>Revision history for this page on the wiki</subtitle>
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	<entry>
		<id>https://idwiki.org/index.php?title=Fibromyalgia&amp;diff=5166&amp;oldid=prev</id>
		<title>Aidan: Text replacement - &quot;Clinical Presentation&quot; to &quot;Clinical Manifestations&quot;</title>
		<link rel="alternate" type="text/html" href="https://idwiki.org/index.php?title=Fibromyalgia&amp;diff=5166&amp;oldid=prev"/>
		<updated>2020-07-22T10:16:33Z</updated>

		<summary type="html">&lt;p&gt;Text replacement - &amp;quot;Clinical Presentation&amp;quot; to &amp;quot;Clinical Manifestations&amp;quot;&lt;/p&gt;
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				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 10:16, 22 July 2020&lt;/td&gt;
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  &lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 11:&lt;/td&gt;
  &lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 11:&lt;/td&gt;
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  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;* Viral infection, often overlapping with chronic fatigue syndrome&lt;/div&gt;&lt;/td&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;* Viral infection, often overlapping with chronic fatigue syndrome&lt;/div&gt;&lt;/td&gt;
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  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br /&gt;&lt;/td&gt;
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  &lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;== Clinical &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Presentation&lt;/del&gt; ==&lt;/div&gt;&lt;/td&gt;
  &lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;== Clinical &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Manifestations&lt;/ins&gt; ==&lt;/div&gt;&lt;/td&gt;
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  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;* Often correlates with IBS, irritable bladder, visual/auditory hypersensitivity&lt;/div&gt;&lt;/td&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;* Often correlates with IBS, irritable bladder, visual/auditory hypersensitivity&lt;/div&gt;&lt;/td&gt;
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&lt;/table&gt;</summary>
		<author><name>Aidan</name></author>
	</entry>
	<entry>
		<id>https://idwiki.org/index.php?title=Fibromyalgia&amp;diff=4215&amp;oldid=prev</id>
		<title>Maintenance script: Imported from text file</title>
		<link rel="alternate" type="text/html" href="https://idwiki.org/index.php?title=Fibromyalgia&amp;diff=4215&amp;oldid=prev"/>
		<updated>2020-07-04T01:17:34Z</updated>

		<summary type="html">&lt;p&gt;Imported from text file&lt;/p&gt;
&lt;p&gt;&lt;b&gt;New page&lt;/b&gt;&lt;/p&gt;&lt;div&gt;== Definition ==&lt;br /&gt;
&lt;br /&gt;
* Generalized pain hypersensitivity syndrome&lt;br /&gt;
* Lower threshold for the perception of sensation in general&lt;br /&gt;
&lt;br /&gt;
== Etiology ==&lt;br /&gt;
&lt;br /&gt;
* Long-standing pain, often related to cervical or lumbar strain&lt;br /&gt;
* Sleep disturbance, including alpha intrusions, sleep apnea, and restless leg syndrome&lt;br /&gt;
* Psychiatric disorders&lt;br /&gt;
* Viral infection, often overlapping with chronic fatigue syndrome&lt;br /&gt;
&lt;br /&gt;
== Clinical Presentation ==&lt;br /&gt;
&lt;br /&gt;
* Often correlates with IBS, irritable bladder, visual/auditory hypersensitivity&lt;br /&gt;
* Classical tender points correlate most to cervical and lumbar strain etiology&lt;br /&gt;
&lt;br /&gt;
== Investigations ==&lt;br /&gt;
&lt;br /&gt;
* Labs&lt;br /&gt;
** Routine, including inflammatory markers, to rule out rheumatologic disorder&lt;br /&gt;
* Other&lt;br /&gt;
** Sleep study for restless leg and sleep apnea&lt;br /&gt;
&lt;br /&gt;
== Management ==&lt;br /&gt;
&lt;br /&gt;
* Treat the contributory cause&lt;br /&gt;
* Cervical and lumbar strain&lt;br /&gt;
** Core strengthening&lt;br /&gt;
** Contoured pillow&lt;br /&gt;
* Alpha intrusions during sleep: amitriptyline 10mg po HS&lt;br /&gt;
* Sleep apnea or restless leg: treat&lt;br /&gt;
* Psychiatric issues: CBT and medications&lt;br /&gt;
* Viral infection: watchful waiting&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
[[Category:Rheumatology]]&lt;/div&gt;</summary>
		<author><name>Maintenance script</name></author>
	</entry>
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