DC Rheumatology
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| Rheumatology Dx method statistics | 50% history, 45% physical diagonsis, 5% other studies & tests
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| Noninflammatory Disorder symptoms | morning stiffness is focal & brief (<30min). Absent constitual symptoms. More discomfort with prolonged use. Locking or instability sometimes present. Not necessarily symetrical. Tenderness at the joint line. Inflammation unusual. No lab abnormalities.
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| Morning stiffness is focal, brief (<30minutes) | Noninflammatory
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| Constitual symptoms (fatigue, myalgia, weight loss & fever) | Inflammatory
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| Pain increases with prolonged use. | Noninflammatory
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| Pain increases with prolonged rest. | Inflammatory
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| Locking or instability is present. | Noninflammatory
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| Symetrical Joints involved | Inflammatory
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| Tenderness at the joint line | Noninflammatory
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| Joint pain at full ROm (Stress induced) | Inflammatory
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| Inflammation present | Inflammatory
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| Lab abnormalities | Inflammatory
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| Inflammatory disorder symptoms | Prolonged morning stiffness >1hr). Constitual symptoms. More discomfort with prolonged inactivity. Locking or instability NOT present. Symetrical joints involved. Tenderness at full ROM (stress). Inflammation. Lab abnormalities.
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| Schober's Test | Mark 10 cm above & at the level of the sacral dimples. Have patient reach the floor without bending the knees. The distance between these two marks should increase to at least 15 cm if normal spine motion is present.
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