Describe cardinal symptoms of fibromyalgia.
Diffuse chronic musculoskeletal pain
Distribution: all or most regions of the body
Character: variable, often neuropathic, without objective pathologic findings
Fatigue
Unrefreshing sleep
List common additional symptoms.
Fibro fog: a form of cognitive dysfunction that includes difficulty concentrating and lack of clarity of thought
Headaches (e.g., migraine)
Morning stiffness
Paresthesias
Memory deficits
Abdominal pain or cramps
Autonomic changes
Xerostomia, xerophthalmia
Blurry vision, photophobia
Raynaud phenomenon
Restless leg syndrome
Pain at tender points (used historically): 18 sites on the body, primarily where muscles and tendons attach to bone
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