Case-Based Learning


This case-based module will guide you through the latest evidence in the diagnosis and management of chronic obstructive pulmonary disease

2 CPD hours

Key questions on rheumatoid arthritis

Dr Maria Leandro, consultant rheumatologist, on precipitants of rheumatoid arthritis, differential diagnoses and the role of biologics

1.5 CPD hours
Case-Based Learning

Chronic heart failure

This case-based module will guide you through the latest evidence in the diagnosis and management of chronic heart failure.

1.5 CPD hours

Key questions on fibromyalgia

Module summary

Consultant rheumatologist Dr Selwyn Richards answers GP Dr Mandy Fry's queries on fibromyalgia in general practice.

Learning objectives

This module will update your knowledge on fibromyalgia, including issues such as:

  • Diagnosing fibromyalgia using the American College of Rheumatology criteria
  • Examining the 18 potential trigger points in a patient
  • Prescribing amitriptyline to help with pain and sleep
  • Managing flares of pain by switching from one moderately powerful opiate analgesic to another
  • Distinguishing fibromyalgia from chronic fatigue syndrome
  • Advising patients on complementary therapies
  • Engaging patients in psychological therapies

This module was updated on the 31 August 2012 and was up to date with all key guidelines and evidence at that point. It will be reviewed as part of our routine update cycle by 30 August 2014 but will be updated sooner to reflect any key guideline changes.


Dr Selwyn Richards is consultant rheumatologist for Poole Hospital NHS Foundation Trust

Dr Mandy Fry is a GP in Cirencester, Gloucestershire, and senior primary care lecturer at Oxford Brookes University

Date module published
Module due for review
Suggested number of CPD credits
Completing this module will earn you a certificate for a suggested
1.5 CPD hours
By showing evidence of impact you could double that to
3 CPD hours
What other GPs said after completing this module
very informative
Charlotte Lewis
Not entirely convincing but well presented
Roderick McDonald
very good
Robert Nixon
Brenda Bates
Reasonable brief coverage of the topic.
Owen Thomas