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Nate Friedman, MD
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Fibromyalgia - Hx

‍‍Patient presents with ‍diffuse pain﻿  > 3 months
‍‍Localisation: ‍﻿   Axial skeleton pain present
‍‍Pain worse in the morning and at the end of the day
‍‍Pain worse with exercise and/or emotionnal stress
‍‍﻿‍Fatigue﻿ 
‍‍﻿‍Sleep disorder﻿ 
‍‍﻿‍Anxiety and/or depression symptoms﻿ 
‍‍﻿‍Loss of concentration﻿ 
‍‍﻿‍Functionnal impairment ﻿ 
‍‍﻿‍Morning stiffness﻿ 
‍‍﻿‍Headache﻿ 
‍‍﻿‍Atypical paresthesia﻿ 
‍‍﻿‍Irritable bowel syndrome﻿ 
‍‍﻿‍Urinary urgency﻿ 
‍‍﻿‍Dysmenorrhea﻿ 
‍‍﻿‍Vulvodynia﻿ 

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