Chapter

Clinical presentation and diagnosis of rheumatic disease

Anthony S. Russell and Robert Ferrari

in Oxford Textbook of Medicine

Published on behalf of Oxford University Press

Published in print May 2010 | ISBN: 9780199204854
Published online November 2011 | e-ISBN: 9780199570973 | DOI: http://dx.doi.org/10.1093/med/9780199204854.003.1902_update_001

Series: Oxford Textbooks

Clinical presentation and diagnosis of rheumatic disease

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Most rheumatological diagnoses are made through effective history taking and physical examination rather than investigation.

Systemic symptoms, such as weight loss, anorexia, and fever, point to systemic diseases such as rheumatoid arthritis, other polyarthritides, systemic lupus erythematosus, polymyalgia, and vasculitides. Swelling of joints is a symptom commonly reported by patients with no objective evidence of this on examination. Inflammatory arthropathies should not be diagnosed unless the physician is able to identify objective swelling, if necessary by arranging a prompt review during an active episode. Diagnostic criteria for the systemic rheumatic diseases are useful in directing the history taking to verify a suspected diagnosis....

Chapter.  4201 words.  Illustrated.

Subjects: Rheumatology

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