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Musculoskeletal and Rheumatologic 1

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Case 1 of 13Musculoskeletal and RheumatologicGeneralized pain (e.g., fibromyalgia)

A 52-year-old female presents with complaints of generalized body pain, fatigue, and depressed mood for the past 4 months. She also states that she has trouble falling asleep and, when she does sleep, does not feel rested and continues to be tired in the morning. Her past medical history includes anxiety, but she is currently not on any medications. On examination, she has markedly tender areas around her neck and shoulders as well as her lower back and gluteal region.

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What is the most likely diagnosis?

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