A 16-year-old girl presents with a 3-month history of widespread musculoskeletal pain, fatigue, non-restorative sleep, and 'brain fog'. She reports mu...

Question

A 16-year-old girl presents with a 3-month history of widespread musculoskeletal pain, fatigue, non-restorative sleep, and 'brain fog'. She reports multiple tender points on examination over her neck, shoulders, and back. Routine blood tests including FBC, U&Es, CRP, ESR, TFTs, and CK are all normal. What is the most likely diagnosis?

Accepted Answer

Fibromyalgia

Answer

Chronic fatigue syndrome (ME/CFS)

Answer

Polymyalgia rheumatica

Answer

Juvenile idiopathic arthritis

Answer

Ankylosing spondylitis

ukmla MCQ (SBA): Fibromyalgia