Assessments to Consider in Patients with Fibromyalgia or Medically Unexplained Symptoms.
Assessments to Consider in Patients with Fibromyalgia or Medically Unexplained Symptoms.
| Assessment Tool or Test | Indication | |
|---|---|---|
| Questionnaires | Generalized Anxiety Disorder 7-item questionnaire | Anxiety |
| Patient Health Questionnaire 9-item assessment | Depression | |
| Laboratory Studies | Complete blood cell count | Fatigue |
| Aspartame aminotransferase and alanine aminotransferase | Fatigue | |
| Bilirubin | Pruritus | |
| Hemoglobin A1c and fasting glucose | Fatigue, burning mouth | |
| Vitamin B1, B2, B6, B12 | Paresthesias, burning mouth | |
| Vitamin C, ascorbic acid | Burning mouth | |
| Vitamin D | Pain | |
| Folate | Burning mouth | |
| Ferritin | Burning mouth, pruritus | |
| Thyroid-stimulating hormone | Fatigue, burning mouth | |
| Testosterone (men) | Fatigue | |
| Morning cortisol | Fatigue | |
| Sedimentation rate, C-reactive protein | Arthralgias, myalgias | |
| Complement, total and C4 | Pruritus | |
| Antinuclear antibody | Burning mouth | |
| Sjögren syndrome antigen A and B | Burning mouth | |
| Immunoglobulins A, M, G | Burning mouth, possible immunodysfunction | |
| Tissue transglutaminase antibodies | Food intolerance, irritable bowel, diarrhea | |
| Protein electrophoresis | Paresthesias, pruritus | |
| Heavy metals | Paresthesias | |
| Metanephrines, serum | Indeterminate spells | |
| Tests | Echocardiogram | Exertional fatigue |
| Electromyogram | Paresthesias | |
| Holter monitor | Palpitations, non-specific dizziness, lightheadedness | |
| Overnight oximetry | Fatigue | |
| Spirometry with bronchodilator | Dyspnea | |
| Tilt table test | Postural orthostatic tachycardia syndrome, chronic fatigue, lightheadedness | |