By Diana Vradii M.D., Amy M. Wasserman M.D. (auth.), Massoud Mahmoudi (eds.)
Challenging situations in Rheumatology and illnesses of the Immune approach is the newest name in a turning out to be number of thought-provoking case-based titles from Massoud Mahmoudi, D.O., Ph.D. Like his 3 previous titles, Challenging situations in allergic reaction and Immunology (2009), Challenging instances in Allergic and Immunologic ailments of the surface (2010), and Challenging circumstances in Pulmonology (2011), this easy-to-read identify provides the subject in a demanding and stress-free case-based layout. constructed by means of 30 wonderful members, the publication involves six components and sixteen chapters, with each one bankruptcy offering instances. the fashion of this identify follows the former books: every one subject starts off with an summary, by way of a case presentation, operating analysis, facts, ultimate prognosis, and dialogue. moreover, to augment a evaluate of the topic and stimulate severe pondering, there are five to ten a number of selection questions and solutions in every one bankruptcy. Challenging circumstances in Rheumatology and ailments of the Immune procedure is an essential source for all clinicians who take care of sufferers with rheumatic and immunologic disorders.
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Additional resources for Challenging Cases in Rheumatology and Diseases of the Immune System
He has no known drug allergies. Family history: There is no family history of osteoarthritis, rheumatoid arthritis, gout, or other immune-mediated diseases. Family history is significant for hypertension. There is no family history of coronary artery disease or diabetes mellitus. Social and occupational history: The patient is married and lives with his wife and brother. He previously was a kitchen supervisor for the state prison system for many years, but is now disabled. He states that he only smoked cigarettes for one summer when he was 21, but has not smoked since.
Sports and osteoarthritis. Curr Opin Rheumatol. 2004; 16(5):634–9. 5. Hunter DJ, Lo GH. The management of osteoarthritis: an overview and call to appropriate conservative treatment. Med Clin North Am. 2009;93(1):127–43. xi. 6. Kapoor M, Martel-Pelletier J, Lajeunesse D, Pelletier JP, Fahmi H. Role of proinflammatory cytokines in the pathophysiology of osteoarthritis. Nat Rev Rheumatol. 2011;7(1):33–42. 7. Goldring MB, Goldring SR. Articular cartilage and subchondral bone in the pathogenesis of osteoarthritis.
Inflammatory markers such as ESR, CRP, and Rheumatoid Factor (RF) are considered if patient has signs and symptoms of inflammatory arthritis. Synovial fluid analysis is indicated when the patient presents with acute onset of pain or a joint exam that is consistent with an inflammatory process. In osteoarthritis, synovial WBC is less than 2,000 mm−3 (normal: x < 2,000 mm−3) on synovial fluid analysis . X-rays of affected joints are helpful in confirming a diagnosis of osteoarthritis. It is equally important to consider that there is no correlation between severity of radiographic findings and the amount of pain or disability.