Your next patient is a 64 year-old-female whom you are seein…

Your next patient is a 64 year-old-female whom you are seeing for the first time. She is presenting with pain and stiffness in the joints of her hands, and pain in the right knee when climbing stairs.  After completing your physical exam your leading diagnosis is osteoarthritis (OA). The next two questions refer to this patient and/or the diagnosis of OA. What are the following symptoms/features that led you to the diagnosis of OA?  

Fibromyalgia is characterized by symptoms of widespread musc…

Fibromyalgia is characterized by symptoms of widespread musculoskeletal pain, fatigue, nonrestorative sleep, depression, headaches and gastrointestinal complaints. Although the cause of fibromyalgia is unclear, research states that fibromyalgia is most likely caused by: