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BODY/GENERAL PAINApproach to the patient who aches all over• Check patient’s temperature and weight.• Ask about a sore throat or runny/blocked nose.NormalDo a musculoskeletal screen to check if problem is in the joint. Ask the patient to:• Place hands behind head; then behind back.• Make a fist and open hand.• Press palms together with elbows lifted.• Walk. Sit and stand up with arms folded.• If temperature ≥ 38ºC 4and/or• If weight loss ≥ 5% of bodyweight in past 4 weeks 3.• If sore throat 14.• If runny/blocked nose 13.Unable to do all actions comfortably.Able to do all actions comfortablyExamine the joints.Joints arewarm, tender,swollen or havelimited movement.33Joints are normal.• If status is unknown, test for HIV 60.• Ask patient: ‘Are you stressed?’ If yes 52.• If patient has experienced recent trauma or abuse 53.• Ask about duration of generalised pain.< 4 weeks≥ 4 weeks• Give paracetamol 1g6 hourly.• Patient to return if nobetter in 2 weeks.• Give paracetamol 1g 6 hourly.• Take blood for CRP, creatinine, random blood glucose and finger-prick Hb.• If patient has weight gain, low mood, dry skin or constipation, check TSH.• Review in 2 weeks.Blood results all normalConsider fibromyalgia 90.Blood results abnormalRefer to doctor for further assessment.32TB HIV CHRONIC RESPIRATORYDISEASECHRONIC DISEASESOF LIFESTYLEMENTAL HEALTH EPILEPSY MUSCULOSKELETALDISORDERSWOMEN'S HEALTH