nomenclature and classification of rheumatic diseases inflammatory joint diseases rheumatoid...
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Nomenclature and classification of rheumatic diseases
INFLAMMATORY JOINT DISEASESRheumatoid arthritisDiseases of connective tissue ( SLE, Antiphospholipid syndrome,Progressive Systemic Sclerosis, Sjogren Syndrome, MCTD)Inflammatory muscle diseases (Poly/Dermatomyositis)Seronegative arthritis ( Ankylosing Spondylitis, Reiter’s syndrome, Psoriatic arthritis, Enteropathic arthritis)Crystal-related arthropathiesRheumatic feverVasculitidesOSTEOARTHRITISSOFT TISSUE RHEUMATISM
Metabolic bone diseasesMiscellaneous disorders
Medical history in rheumatic diseasesPainLocationArticular-PeriarticularReferred ChronologyConstant-intermittentIntensityQualityTime and mode of onset, diurnal pattern, affecting factorsStiffness-LockingSwellingWeakness and difficulty movingFatigueEmotional labilityThe impact of the condition on the patient
Previous medical history-Review of systems-Family history Social history and occupation- Drug history
Examination of the patient Inspection, palpation and observing movement
JOINTS: Swelling, Warmth, Redness, Tenderness, Movement, Instability, Deformity.
SOFT TISSUE (Muscles, Fasciae, Tendons, Entheses, Bursae, Skin) pathology
NERVE: (entrapment and neuropathy)
1.Are any of the joints abnormal?
2. What is the matter of joint abnormality ?
(acute inflammation, past inflammation, mechanical)
3.What is the extent (distribution) of joint involvement ? (symmetrical/asymmetrical, small/large, peripheral/spinal, upper/lower limbs, favored/spared)
4.Are other features of diagnostic importance ?
PSYCHOSOCIAL STATUS FUNCTIONAL IMPAIRMENT