Key questions on vaginal discharge

Dr Olwen Jones on whether self-taken genital swabs are acceptable in teenagers, speculum examinations in pregnancy and treating recurrent thrush

1.5 CPD hours

Clinical casebook: hypertension

Consultant cardiologist Dr Angus Nightingale and clinical research fellow Dr Thomas Hinton on blood pressure monitoring, contraindications to general anaesthesia and what blood pressure targets GPs should be aiming for.

1 CPD hour
Video module - Premium

Recognising and referring signs of sepsis

Dr Simon Stockley advises on key warning signs for sepsis and referring cases to secondary care

1 CPD hour

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
Brenda Bates
Reasonable brief coverage of the topic.
Owen Thomas
Craig Blackwell
very useful, consolidating a previous module I completed on fibromyalgia
Laura Smart
I am really sorry but I must remain unconvinced that this is an actual disease entity....I do not believe that sufficient evidence is presented here or in the medical literature that I have I did not benefit from this module at all except to further convince Myself that this does not exist at all.....
Keith Wolverson