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Kaplan Qbank USMLE



Author4 Posts
  #1

6o yo female
with widespread diffuse pain with symmetric tender points in both shoulders
Physical exam normal.
Lab test normal..including ESR normal

fatigue, muscle pain positive

most likely diagnosis?

  #2

polymyositis

  #3

i think so too

  #4

this is a case of fibromyalgia. note the classic symmetric point tenderness in both shoulders.

polimyositis will have evidence of ESR increased.. and on physical exam will reveal proximal muscle weakness.







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