Symptom Presentation:

• Fibromyalgia: Increased overall muscle pain accompanied by fatigue, insomnia, altered mood
• Muscle Atrophy: Systemic muscle atrophy associated with disuse

Previously, you researched and considered three conditions through the process of differential diagnosis that would present with varying abnormalities in homeostasis, metabolism, triglycerides and DNA in week 1. Abnormalities in oxidation, plasma and tissue enzyme activity, inflammation and alopecia respectively in week 2 and increased cortisol and demonstrated bone loss in week 3. Given the new symptom presentation above, consider and answer the following questions within a video or written presentation:

If choosing a video presentation, spend a minimum of one minute on each of the three questions below. If choosing a written presentation, please create 2-3 paragraphs per each of the questions listed below.

• Mid-point in the course, is your differential diagnosis more closely centered upon a specialty? Are you focused upon metabolic, autoimmune, infectious, psychological, or neurological? Reconfirm or reestablish your top two diagnoses and rationalize your answers.
• Is this a systemic disease affecting multiple organ systems or do you believe this is an isolated condition with random symptom presentation? Rationalize your answer.
• Based upon what you currently know through symptom presentation and the process of differential diagnosis, what further tests would you order to help confirm your current diagnoses? Rationalize your answer. Please provide two or three references thanks in advanced.