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We recommend a stepwise diagnostic work- up of patients with chronic widespread pain ( cwp) in primary care: complete medical history including medication, complete medical examination, basic laboratory tests to screen for inflammatory or endocrinology diseases, referral to specialists only in case of suspected somatic diseases, assessment of limi. edit, sign and save fibromyalgia residual qnr form. the diagnosis of fibromyalgia should be considered if a patient meets the following three criteria: 1) the patient scores ≥ 7 on the widespread pain index ( wpi) and ≥ 5 on the symptom severity. to answer the following questions, patients should take into consideration: how you felt the passed week, while taking your current therapies and treatments, and also exclude your pain or symptoms from other known illnesses such as arthritis, lupus, sjogren’ s, etc. check each area you have felt pain in over the past week.
0 shoulder girdle, left. to answer the following questions, patients should take into consideration how you felt the past week, while taking questionnaire questionnaire your current therapies and diagnosis treatments, and exclude your pain or symptoms from other known illnesses such as arthritis, lupus, sjogren’ s, etc. 2 for each pdf symptom listed below, use the following scale to indicate the severity of the symptom during the past 7 days. • no problem • slight or mild problem: generally mild or intermittent. fibromyalgia residual qnr & more fillable forms, register and subscribe now! determining your widespread pain index ( wpi) – part 1. 1 please indicate if you have had pain or tenderness during the past 7 days in the areas shown below. fibromyalgia diagnosis questionnaire pdf web- based pdf form filler. fatigue waking unrefreshed cognitive symptoms 0 = no fibromyalgia diagnosis questionnaire pdf problem = slight or mild problems; generally mild or intermittent = moderate; considerable problems; often present and/ or at moderate level = severe: pervasive, continuous, life disturbing problems 0 = no problem = slight or mild problems; generally mild or intermittent.
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