Cases in medicine

The incidence of fibromyalgia may be taken as low to moderate. Fibromyalgia is a chronic disorder that is characterized by widespread musculoskeletal pain in association with fatigue and neuropsychiatric disturbances such as impaired attention and concentration, depression, anxiety, poor sleep, and even paresthesias . It is most common in women aged 22-55. The diagnosis can be made in a patient with chronic pain and fatigue for >3 months with normal inflammatory markers such as CRP or ESR. The precise etiology of fibromyalgia is unknown, but it likely involves abnormal central processing of painful stimuli. Possible contributing factors include physical and emotional stressors. Although exercise can temporarily exacerbate the pain of fibromyalgia, whether gradual incremental aerobic exercise improves function and reduces pain remains a perplexity. This article intends to solve just that. Tricyclic antidepressants and serotonin-norepinephrine reuptake can be considered in patients...

Pak Emirates Military Hospital, Rawalpindi Well furnished floors, well mowed lawns, guards stationed at intervals guiding you along the way. While the highways and the developments around the area make the trip easy. You’re inside a military hospital in Pakistan. What most surprised me when I started working in a military hospital in Pakistan is that there’s no shortage of equipment here. A surplus of supplies means you don’t need to keep disinfectants in your pocket to use only when need arises, which is the case in the public sector. In fact you see disinfectants spread around like confetti. In my analysis, that is because they channel their resources in the correct way and don’t waste the allocated finances. Actually showing other departments what they should be doing. The question arises: What does the civilian health sector do with their resources, dump it in the ocean? Actually yes, they put some of it in the holds of a small army of caretakers. Then another army of disposal peo...