Primary Care Rheumatology

by Klippel, John H.; Dieppe, Paul; Ferri, Fred F.; Klippel, John H.; Dieppe, Paul; Ferri, Fred F.

• ISBN13: 9780723431435
• ISBN10: 0723431434
• Edition: 1st
• Format: Hardcover
• Copyright: 1999-06-01
• Publisher: Elsevier Science Health Science div

Summary

Designed to meet the needs of the primary care physician, PRIMARY CARE RHEUMATOLOGY focuses on the diagnosis and treatment of the patient with a musculoskeletal disorder. It's written and designed to allow the busy clinician to find diagnostic answers quickly and easily, and includes more than 550 detailed, full-color illustrations. Sections on pediatrics and geriatrics highlight special life span considerations. This useful reference also details follow-up care by including patient teaching guides for the most common disorders. * Emphasizes diagnosis, treatment and approach to the patient, and provides the key information necessary for the primary care of the patient with a disorder of the musculoskeletal system. * Contains over 500 full color clinical photographs and illustrations providing an excellent diagnostic tool and illuminating important concepts. * Advises the primary care doctor when to refer patients to specialist care with special "recommendations for referral" boxes throughout the text. * Provides invaluable advice and recommendations on cost containment guidelines and when to order tests. * Features special pediatric and geriatric sections covering diseases and therapeutic details particular to these groups. * Provides patient teaching guides for the most common conditions, designed be photocopied and given direct to the patient to help them understand the key facts about their condition, and how they can help themselves. * Incorporates diagnostic algorithms at the beginning of each section to help the reader quickly and easily diagnose a disorder. * Includes short clinical case descriptions throughout text for realistic learning or review.

Table of Contents

Preface	iv
Introduction	v
ICD-9 codes	vi
Guide to case presentations	viii
User guide	ix
SECTION ONE: PRINCIPLES OF DIAGNOSIS AND MANAGEMENT	1	(64)
Introduction to disorders of the musculoskeletal system	3	(4)
The rheumatologic history and examination-the GALS screen for musculoskeletal diseases	7	(4)
Pattern recognition in arthritis	11	(8)
Arthritis with generalized signs and symptoms	19	(8)
Laboratory tests in rheumatology	27	(6)
Imaging of the musculoskeletal system	33	(4)
Synovial fluid analysis	37	(4)
Principles of management	41	(14)
Drugs used in the management of rheumatic disorders	55	(10)
SECTION TWO: REGIONAL PAIN AND MONOARTICULAR DISORDERS	65	(74)
Pain in the shoulder	69	(10)
Pain in the elbow	79	(6)
Pain in the wrist and hand	85	(8)
Pain in the hip	93	(6)
Pain in the knee	99	(10)
The ankle and foot	109	(8)
Gout	117	(8)
Septic arthritis	125	(6)
Other regional disorders	131	(8)
SECTION THREE: POLYARTICULAR DISORDERS	139	(48)
Rheumatoid arthritis	143	(12)
Psoriatic arthritis	155	(8)
Viral arthritis	163	(6)
Reactive arthritis	169	(6)
Other polyarticular disorders	175	(12)
SECTION FOUR: SPINAL DISORDERS	187	(32)
Low back pain	191	(10)
Neck pain	201	(8)
Ankylosing spondylitis	209	(6)
Other spinal disorders	215	(4)
SECTION FIVE: SYSTEMIC DISORDERS	219	(40)
Fibromyalgia	223	(6)
Systemic lupus erythematosus	229	(4)
Sjogren's syndrome	233	(4)
Raynaud's phenomenon	237	(4)
Antinuclear antibody spectrum disorders	241	(4)
Other systemic disorders	245	(14)
SECTION SIX: DISEASES OF BONE	259	(18)
Osteoporosis	263	(8)
Other bone diseases	271	(6)
SECTION SEVEN: CHILDHOOD RHEUMATIC DISORDERS	277	(30)
Regional musculoskeletal disorders in children	279	(6)
Nonorganic musculoskeletal pains in children	285	(4)
Juvenile chronic arthritis	289	(6)
Acute rheumatic fever	295	(4)
Less common childhood rheumatic disorders	299	(8)
SECTION EIGHT: OLDER PEOPLE	307	(30)
Musculoskeletal problems in older people	309	(6)
Generalized osteoarthritis	315	(6)
Polymyalgia rheumatica and giant cell arteritis	321	(6)
Other diseases of older people	327	(10)
SELF-HELP LEAFLETS	337	(16)
A Self-help for shoulder pain	339	(1)
B Self-help for osteoarthritis of the knee	340	(1)
C Self-help for gout	341	(1)
D Self-help for rheumatoid arthritis	342	(1)
E Self-help for psoriatic arthritis	343	(1)
F Self-help for low back pain	344	(1)
G Self-help for neck pain	345	(1)
H Self-help for ankylosing spondylitis	346	(1)
I Self-help for fibromyalgia	347	(1)
J Self-help for lupus	348	(1)
K Self-help for Sjogren's syndrome	349	(1)
L Self-help for Raynaud's phenomenon	350	(1)
M Self-help for osteoporosis	351	(1)
N Self-help for juvenile chronic arthritis	352	(1)
Further reading	353	(2)
Index	355