Rheumatology History

RHEUMATOLOGY - HISTORY 

DD:

Rheumatoid arthritis 

SLE

Osteoarthritis 

Psoriatic arthritis 

Connective tissue disorder - dermatomyositis

Reactive arthritis

GOUT

Trauma

Pain - started suddenly/ gradually

           Progressing?

           Bilateral/ Joints involved

           Severity/ aggravating and relieving factors

           How this is affecting the day to day activities?

           First episode?

Associated symptoms- morning stiffness/ restriction of movements/ 

                                      swelling/ redness/ hot to touch

• Trauma
• Fever/ flu like illness
• Rash/ oral ulcers/ photosensitive rashes(SLE)
• LOA/ LOW/ feeling tired
• Nausea/ vomiting/ diarrhoea/ water works
• SLE- SOB, chest pain, headache, seizure ( headache- if polymyalgia Rheumatica to exclude TA)
• Dermatomyositis- muscle aches & weakness
• Raynaud's phenomena ( finger/ toes--- pale, blue, red)

Females - periods, pregnancy, HIV/ STI

MOOD 

Smoking, alcohol, medication, PMH

FH- RA, SLE, psy illness