II. Diagnosis of exclusion

  1. See Chronic Pain Causes
  2. Diffuse Arthralgia and myalgia
  3. No organic signs
    1. No Joint Swelling
    2. No Muscle Weakness
    3. No weight loss
    4. No fever

III. Precautions

  1. Avoid ordering too many labs
  2. Patient may obsess over a mild abnormality
  3. Diagnostic tests with common mild abnormalities
    1. Serologies
    2. Electromyogram (EMG)
    3. CT or MRI Imaging

V. Evaluation

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