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