1. A 45-year-old woman presents to her primary care physician complaining of difficulty sleeping and extreme fatigue with minimal exertion. These symptoms have been persistent over the past 3 months. She describes her pain as a stiff ache throughout her back and shoulders. Although the stiffness typically improves over the course of the day, any major form of exertion leaves her muscles aching. She denies any recent history of trauma or infection. Physical examination reveals points of increased tenderness over the medial aspect of the upper border of the trapezius muscle bilaterally and above the medial border of the scapular spine. X-rays of the shoulder are normal. What is the most likely diagnosis? (A) Fibromyalgia (B) Frozen shoulder syndrome (C) Malingering (D) Osteoarthritis



B,Frozen shoulder syndrome

these symptoms are common in perimenopausal women


premanopausal syndrom in the form og fibromyalgia!!

fibromyalgia.agree with Dr ashok sir

A . Fibromyalgia



Fibromyalgia as the most probable. Check the levels of VitD3, B12,Hb, Could be due to Anxiety - depression syndrome also.


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