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Fahmida's history

Fahmida's history
Location of pain?  She first noticed pain in her shoulders and lower back. Now it has moved to her arms and hands and she also gets pain in her legs.
Onset? The pains came on gradually.
Swelling?  Her hands sometimes feel tight but she hasn't noticed any swelling.
Relationship of symptoms to activity?  Pain is worse after a day at work. The pain is present most of the time with no diurnal variation, though some days are worse than others.
Other symptoms? She reports feeling fatigued and has had very disturbed sleep recently. She puts this down to having young children. She wakes feeling unrefreshed.
She's noticed that she sweats at night and reports a tingling sensation in her arms and legs occasionally.
She reports feeling very dizzy recently and wonders if it could be her blood pressure.
She has no rashes, weight loss or cough.

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Taking a patient history

Lady holding sore neck

A detailed history provides important clues when deciding whether musculoskeletal pain has an inflammatory cause.

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