Rheumatology, An Issue of Physician Assistant Clinics

1st Edition, Volume 6-1 - November 18, 2020
Editor: Benjamin J. Smith
Language: English
Paperback ISBN:
9 7 8 - 0 - 3 2 3 - 7 5 7 8 5 - 0
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 5 7 8 6 - 7

This issue of Physician Assistant Clinics, guest edited by Benjamin Smith, is devoted to Rheumatology. Articles in this issue include: Immunology Basics of Rheumatic Disease, The… Read more

Rheumatology, An Issue of Physician Assistant Clinics

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This issue of Physician Assistant Clinics, guest edited by Benjamin Smith, is devoted to Rheumatology. Articles in this issue include: Immunology Basics of Rheumatic Disease, The Approach to the Patient with Rheumatic Disease, Osteoarthritis, Rheumatoid Arthritis, Systemic Lupus Erythematosus, Gout and other Cyrstal Arthritides, Fibromyalgia, Inflammatory Myopathies, Vasculitis, Osteoporosis Diagnosis and Management, Axial Spondyloarthritis and Ankylosing Spondylitis, Psoriatic Arthritis, Systemic Sclerosis, Pediatric Rheumatology, Pediatric Rheumatology Pt. II, and more.

Cover image
Title page
Table of Contents
Copyright
CME Accreditation Page
Contributors
Forthcoming Issues
Foreword
Preface
Immunology Basics of Rheumatic Disease
Key points
Introduction and background
Cells and tissues of the immune system
Innate and adaptive immunity
Antigen presentation, T-cell–mediated immunity, and B-cell–mediated immunity
Role of cytokines in inflammation
Normal and aberrant immune responses: tolerance and autoimmunity
Mechanisms for immunologic tolerance
Autoimmunity
Clinical correlation with rheumatic diseases
Autoimmunity and rheumatic diseases
Development of autoimmune diseases
Summary
Clinics care points
Identifying Patterns: Linking History, Review of Systems, and Physical Examination in Rheumatic Musculoskeletal Diseases
Key points
Subjective data: patient presurvey
Past medical, family, and social history
Review of systems
Patient interview visit encounter
Physical examination
Putting it all together
Osteoarthritis and Its Management: What the Physician Assistant Needs to Know
Key points
Introduction
Epidemiology
Pathophysiology
Clinical presentation and diagnosis
Osteoarthritis management
Osteoarthritis prevention
Summary
Clinics care points
Clinical Features, Diagnosis, and Treatment of Rheumatoid Arthritis
Key points
Introduction and epidemiology
Etiology and pathogenesis
Diagnosis
Clinical manifestations
Management
The role of primary care providers
Outcomes and unmet needs
Summary
Clinics care points
Systemic Lupus Erythematosus: A Complex, but Recognizable and Treatable Disease
Key points
Introduction
Looking back in the medical history books
Is it systemic lupus erythematosus?
Systemic lupus erythematosus by the numbers
Cause
Symptoms and signs
Laboratory and ancillary tests
Treatment
Summary
Clinics care points
Gout and Other Crystal Arthritides
Key points
An overview of crystal-induced arthropathies
Gout
Calcium pyrophosphate dihydrate and basic calcium phosphate crystal deposition disorders
Summary
Clinics care points
Understanding Fibromyalgia 2020
Key points
Introduction
How common is fibromyalgia?
What are the diagnostic dilemmas?
Factors complicating diagnosis
Clinical features
Laboratory testing
Imaging
Management
Summary and discussion
Clinics care points
Idiopathic Inflammatory Myositis
Key points
Introduction
Clinical characteristics
Dermatomyositis
Polymyositis
Antisynthetase syndrome
Immune-mediated necrotizing myopathies
Inclusion body myositis
Diagnostic evaluation
Myositis antibodies
Further evaluation
Treatment
Exercise
Summary
Osteoporosis Diagnosis and Management
Key points
Introduction
History
Physical examination and workup
Indications for treatment
Pharmacologic management
Universal recommendations
Pharmacologic management
Summary
Clinics care points
Axial Spondyloarthritis and Ankylosing Spondylitis
Key points
Introduction
How common is axial spondyloarthritis?
What are the reasons for late diagnosis of axial spondyloarthritis?
Classification criteria
Why is early diagnosis important?
Clues for early diagnosis/clinical features
Laboratory testing
Imaging
Management
Summary
Clinics care points
Psoriatic Arthritis: The Patient and Provider Perspective
Key points
Introduction
The statistics
Domain 1: peripheral arthritis
Domain 2: axial disease
Domain 3: enthesitis
Domain 4: dactylitis
Domain 5: skin disease
Domain 6: nail dystrophy
Comorbidities
Laboratory studies and imaging
Treatment
Summary
Systemic Sclerosis: A Comprehensive Approach to Diagnosis and Management
Key points
Introduction
Pathophysiology
Epidemiology
Classification criteria
Clinical features
Management
Summary
Clinics care points
Overview of Pediatric Rheumatology: Part One
Key points
Introduction
Juvenile idiopathic arthritis
Mimickers of juvenile idiopathic arthritis in children
Localized scleroderma
Summary
Overview of Pediatric Rheumatology: Part Two
Key points
Brief introduction
Systemic lupus erythematosus
Juvenile dermatomyositis
Vasculitis
Periodic fevers and autoinflammatory syndromes
Summary