Rheumatologic Tests: A Primer for Family Physicians - American Family Physician
Aug 1, 2018 - Patients with a suspected connective tissue disorder should undergo serologic testing to confirm the diagnosis and, in some cases, to monitor disease activity and predict flares. Patients with suspected systemic lupus erythematosus should be tested for antinuclear antibodies. However, ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0801/p164.html
Differential Diagnosis of Polyarticular Arthritis - American Family Physician
Jul 1, 2015 - Polyarticular arthritis is commonly encountered in clinical settings and has multiple etiologies. The first step is to distinguish between true articular pain and nonarticular or periarticular conditions by recognizing clinical patterns through the history and physical examination. Once...
American Family Physician : Article
https://www.aafp.org/afp/2015/0701/p35.html
Acute Monoarthritis: Diagnosis in Adults - American Family Physician
Nov 15, 2016 - Acute monoarthritis can be the initial manifestation of many joint disorders. The most common diagnoses in the primary care setting are osteoarthritis, gout, and trauma. It is important to understand the prevalence of specific etiologies and to use the appropriate diagnostic modalities....
American Family Physician : Article
https://www.aafp.org/afp/2016/1115/p810.html
Screening for Osteoporosis to Prevent Fractures: Recommendation Statement - U.S. ...
Nov 15, 2018 - The USPSTF recommends screening for osteoporosis with bone measurement testing to prevent osteoporotic fractures in women 65 years and older.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2018/1115/od1.html
Useful Signs and Symptoms for Diagnosing Hip Osteoarthritis - POEMs - American Family ...
Jun 1, 2020 - Although plain radiographs are often used to diagnose hip OA, the correlation between radiographic indicators of hip arthritis and hip pain is low.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0601/p696.html
Allopurinol Hypersensitivity Assay HLA-B*58:01 Genotyping - Diagnostic Tests: What ...
Nov 1, 2019 - The allopurinol hypersensitivity assay, or HLA-B*58:01 test, is a blood test to detect the presence of a human leukocyte antigen B (HLA-B) genetic variant that increases the risk of life-threatening, severe cutaneous adverse reactions in patients taking allopurinol.
American Family Physician : Diagnostic Tests: What Physicians Need to Know
https://www.aafp.org/afp/2019/1101/p530.html
Diagnostic Approach to Polyarticular Joint Pain - American Family Physician
Sep 15, 2003 - Identifying the cause of polyarticular joint pain can be difficult because of the extensive differential diagnosis. A thorough history and a complete physical examination are essential. Six clinical factors are helpful in narrowing the possible causes: disease chronology, inflammation, ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0915/p1151.html
Screening for Osteoporosis to Prevent Fractures - Putting Prevention into Practice - ...
Nov 15, 2018 - A 57-year-old postmenopausal woman comes to your clinic for a wellness visit. She has no significant medical problems. She broke her left forearm as a child by falling out of a tree but has had no other fractures. She currently smokes one pack of cigarettes per day, rarely drinks one ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2018/1115/p593.html
Ultrasound Is Reasonably Accurate in Detecting Synovitis in Patients with Rheumatoid ...
Jun 1, 2018 - In this systematic review of patients with rheumatoid arthritis, ultrasonography was reasonably accurate compared with magnetic resonance imaging (MRI) in detecting synovitis in fingers and wrists. The use of MRI as a reference standard is convenient, but problematic.
American Family Physician : POEMs
https://www.aafp.org/afp/2018/0601/p755.html
Clinical Utility of the Erythrocyte Sedimentation Rate - American Family Physician
Oct 1, 1999 - The erythrocyte sedimentation rate (ESR) determination is a commonly performed laboratory test with a time-honored role. However, the usefulness of this test has decreased as new methods of evaluating disease have been developed. The test remains helpful in the specific diagnosis of a ...
American Family Physician : Article
https://www.aafp.org/afp/1999/1001/p1443.html
Giant Cell Arteritis: Biopsy After Corticosteroid Initiation - FPIN's Clinical ...
Jan 15, 2017 - Corticosteroid therapy in patients with suspected giant cell arteritis should not degrade the accuracy of temporal artery biopsy if the biopsy is performed within four weeks of corticosteroid initiation. Temporal artery biopsy can be performed up to four weeks after starting high-dose ...
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2017/0115/p116.html
Clinical Diagnosis of Gout Without Joint Aspirate - Point-of-Care Guides - American ...
Sep 15, 2016 - Gout is ideally diagnosed through identification of characteristic negatively birefringent crystals under polarized light microscopy in fluid aspirated from end-organ deposits, typically from a joint. However, fewer than 10% of patients with gout see a rheumatologist, and most cases of ...
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2016/0915/p505.html
Evaluation of Poststreptococcal Illness - American Family Physician
May 15, 2005 - Group A beta-hemolytic streptococcal pharyngitis, scarlet fever, and rarely asymptomatic carrier states are associated with a number of poststreptococcal suppurative and nonsuppurative complications. As in streptococcal pharyngitis, acute rheumatic fever, pediatric autoimmune ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0515/p1949.html
Diagnosis of Systemic Lupus Erythematossus - American Family Physician
Dec 1, 2003 - Systemic lupus erythematosus is a multisystem inflammatory disease that is often difficult to diagnose. Before the diagnosis can be established, four of 11 clinical and laboratory criteria must be met. Antinuclear antibody titer is the primary laboratory test used to diagnose systemic ...
American Family Physician : Article
https://www.aafp.org/afp/2003/1201/p2179.html
Diagnosing Acute Monoarthritis in Adults: A Practical Approach for the Family Physician...
Jul 1, 2003 - Acute monoarthritis can be the initial manifestation of many joint disorders. The first step in diagnosis is to verify that the source of pain is the joint, not the surrounding soft tissues. The most common causes of monoarthritis are crystals (i.e., gout and pseudogout), trauma, and ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0701/p83.html
Radiographic Assessment of Osteoarthritis - American Family Physician
Jul 15, 2001 - Osteoarthritis is one of the most prevalent and disabling chronic conditions affecting older adults and a significant public health problem among adults of working age. As the bulk of the U.S. population ages, the prevalence of osteoarthritis is expected to rise. Although the incidence ...
American Family Physician : Article
https://www.aafp.org/afp/2001/0715/p279.html
Repeat BMD Testing: Little, If Any, Value in Older Men and Women - POEMs - American ...
Dec 15, 2013 - This study found little, if any, additional benefit to repeat BMD screening at four years beyond baseline BMD testing in older men and women. A recent similar study (Gourlay ML, Fine JP, Preisser JS, et al. N Engl J Med. 2012;366(3):225–233) recommended a baseline examination at 65 ...
American Family Physician : POEMs
https://www.aafp.org/afp/2013/1215/p864.html
Clinical Utility of Common Serum Rheumatologic Tests - American Family Physician
Mar 15, 2002 - Serum rheumatologic tests are generally most useful for confirming a clinically suspected diagnosis. Testing for rheumatoid factor is appropriate when rheumatoid arthritis, Sjögren's syndrome or cryoglobulinemia is suspected. Antinuclear antibody testing is highly sensitive for ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0315/p1073.html
Antibody Testing for Systemic Lupus Erythematosus - FPIN's Clinical Inquiries - ...
Dec 15, 2011 - Antibody testing plays an important role when assessing patients, but should not be used alone to diagnose SLE.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2011/1215/p1407.html
Predicting Rheumatoid Arthritis Risk in Adults with Undifferentiated Arthritis - ...
May 15, 2008 - Early use of disease-modifying antirheumatic drugs (DMARDs) markedly reduces inflammation and joint destruction associated with RA.1,2 Therefore, with early diagnosis of RA and appropriate use of DMARDs, there is a window of opportunity to change the clinical course of this disabling ...
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2008/0515/p1451.html
Ophthalmologic Examinations in Children with Juvenile Rheumatoid Arthritis - Practice ...
Jun 15, 2007 - Guidelines on the use and frequency of ophthalmologic examinations in children with juvenile rheumatoid arthritis are available from the American Academy of Pediatrics (AAP).
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2007/0615/p1886.html
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