RHEUMATOID ARTHRITIS
- Rheumatoid Arthritis: a comprehensive review - http://www.emedicine.com/med/topic2024.htm
- Spanish Society of Rheumatology: Clinical practice guideline for the management of rheumatoid arthritis - http://www.guideline.gov/summary/summary.aspx?doc_id=3683&nbr=002909&string=rheumatoid+AND+arthritis
- Rheumatoid Arthritis as a medical emergency - http://www.emedicine.com/emerg/topic48.htm
- Rheumatoid Arthritis of the spine: radiological perspective - http://www.emedicine.com/radio/topic836.htm
- Juvenile Rheumatoid Arthritis - http://www.emedicine.com/ped/topic1749.htm
- Rheumatoid Hand - http://www.emedicine.com/plastic/topic475.htm
- Rheumatoid Arthritis Rehabilitation - http://www.emedicine.com/pmr/topic124.htm
- Rheumatoid Arthritis and Pregnancy - http://www.emedicine.com/med/topic3259.htm
- Ottawa Panel evidence-based clinical practice guidelines for therapeutic exercises in the management of rheumatoid arthritis in adults - http://www.guideline.gov/summary/summary.aspx?doc_id=6264&nbr=004019&string=rheumatoid+AND+arthritis
- Ottawa Panel evidence-based clinical practice guidelines for electrotherapy and thermotherapy interventions in the management of rheumatoid arthritis in adults - http://www.guideline.gov/summary/summary.aspx?doc_id=6265&nbr=004020&string=rheumatoid+AND+arthritis
Measures:
Lab Studies:
- American Association of Clinical Chemistry:
Rheumatoid Factor (RF) - http://www.labtestsonline.org/understanding/analytes/rheumatoid/glance.html - American Association of Clinical Chemistry: Antinuclear Antibody (ANA) test - http://www.labtestsonline.org/understanding/analytes/ana/glance.html
- Royal College of Pathologists of Australasia: Synovial fluid examination - http://www.rcpamanual.edu.au/sections/pathologytest.asp?s=33&i=217
- American Association of Clinical Chemistry: Erythrocyte sedimentation rate (ESR) - http://www.labtestsonline.org/understanding/analytes/esr/glance.html
- American Association of Clinical Chemistry: C-Reactive Protein (CRP) - http://www.labtestsonline.org/understanding/analytes/crp/glance.html
- American Association of Clinical Chemistry:
Complete Blood Count (CBC) - http://www.labtestsonline.org/understanding/analytes/cbc/glance.html - American Association of Clinical Chemistry: Peripheral blood smear - http://www.labtestsonline.org/understanding/analytes/blood_smear/glance.html
- American Association of Clinical Chemistry:
Serum Iron - http://www.labtestsonline.org/understanding/analytes/serum_iron/glance.html - American Association of Clinical Chemistry: Total iron-binding capacity (TIBC) & Transferrin - http://www.labtestsonline.org/understanding/analytes/tibc/glance.html
- American Association of Clinical Chemistry: Serum ferritin level - http://www.labtestsonline.org/understanding/analytes/ferritin/glance.html
- American Association of Clinical Chemistry:
Reticulocyte Count - http://www.labtestsonline.org/understanding/analytes/reticulocyte/glance.html - American Association of Clinical Chemistry:
Platelet Count - http://www.labtestsonline.org/understanding/analytes/platelet/glance.html
Additional lab tests that may be asked in a given patient:
- Royal College of Pathologists of Australasia: HLA typing - http://www.rcpamanual.edu.au/sections/pathologytest.asp?s=33&i=272
- Anti-cyclic citrullinated peptide antibody (anti-CCP) - http://arthritis.about.com/od/radiagnosis/f/anticcp.htm
Additional lab tests that may be asked in cases of Juvenile Rheumatoid Arthritis (JRA):
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Royal College of Pathologists of Australasia: Alanine aminotransferase (ALT) - plasma or serum - http://www.rcpamanual.edu.au/sections/pathologytest.asp?s=33&i=362
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Royal College of Pathologists of Australasia: Urinalysis - http://www.rcpamanual.edu.au/sections/pathologytest.asp?s=33&i=794
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Royal College of Pathologists of Australasia: Protein (total) - serum or plasma - http://www.rcpamanual.edu.au/sections/pathologytest.asp?s=33&i=571
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Royal College of Pathologists of Australasia: Albumin - plasma or serum - http://www.rcpamanual.edu.au/sections/pathologytest.asp?s=33&i=365
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Royal College of Pathologists of Australasia: Fibrinogen - plasma - http://www.rcpamanual.edu.au/sections/pathologytest.asp?s=33&i=804
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Royal College of Pathologists of Australasia: D-dimers - http://www.rcpamanual.edu.au/sections/pathologytest.asp?s=33&i=246
Additional radiological tests and diagnostic procedures that may be asked in cases of Juvenile Rheumatoid Arthritis (JRA):
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ACC/AHA/ASE 2003 Guideline Update for the Clinical Application of Echocardiography - http://www.acc.org/clinical/guidelines/echo/index_clean.pdf
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Echocardiogram: a brief overview - http://www.nlm.nih.gov/medlineplus/ency/article/003869.htm
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Medline Plus: Pericardiocentesis - http://www.nlm.nih.gov/medlineplus/ency/article/003872.htm
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Medline Plus: Synovial biopsy - http://www.nlm.nih.gov/medlineplus/ency/article/003922.htm
Additional lab tests that may be required in a pregnant lady with rheumatoid arthritis:
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Royal College of Pathologists of Australasia: Blood group - http://www.rcpamanual.edu.au/sections/pathologytest.asp?s=33&i=233
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American Association of Clinical Chemistry: Syphilis detection test (RPR) - http://labtestsonline.org/understanding/analytes/syphilis/glance.html
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American Association of Clinical Chemistry: Hepatitis B (HBsAg) - http://labtestsonline.org/understanding/analytes/hepatitis_b/glance.html
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American Association of Clinical Chemistry: Human Immunodeficiency Virus (HIV) - http://labtestsonline.org/understanding/conditions/hiv-2.html
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American College of Radiology: Ultrasound - Obstetric - http://www.radiologyinfo.org/content/obstetric_ultrasound.htm
Radiological Studies:
Plain Radiography of the Extremities:
- ACR Practice Guideline for the Performance of Radiography of the Extremities - http://www.acr.org/s_acr/bin.asp?
- Arthrography (Joint X-ray) - http://www.radiologyinfo.org/content/arthrography.htm
Spine Radiography:
- ACR Practice Guideline for the Performance of Spine Radiography in Children and Adults - http://www.acr.org/s_acr/bin.asp?TrackID=&SID=1&DID=12289&CID=542&VID=2&DOC=File.PDF
MRI of the Adult Spine:
- ACR Practice Guideline for the Performance of Magnetic Resonance Imaging (MRI) of the Adult Spine - http://www.acr.org/s_acr/bin.asp?TrackID=&SID=1&DID=12249&CID=542&VID=2&DOC=File.PDF
Ultrasound - Musculoskeletal:
- ACR: Ultrasound - Musculoskeletal - http://www.radiologyinfo.org/content/ultrasound-muscskel.htm
Bone scan:
- Medline Plus: Bone scan - http://www.nlm.nih.gov/medlineplus/ency/article/003833.htm
Bone Mineral Density (BMD) Measurement:
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International Society for Clinical Densitometry (ISCD): Official Positions 2005 Updated - http://www.iscd.org/Visitors/pdfs/ISCD_OP2005_000.pdf
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Precision Assessment and Radiation Safety for Dual energy X-ray Absorptiometry (DXA): White Paper of the International Society for Clinical Densitometry - http://www.iscd.org/Visitors/pdfs/RadiationSafetyWhitePaperWebPosting2005-06.pdf
Diagnostic Procedures:
- Medline Plus: Arthroscopy - http://www.nlm.nih.gov/medlineplus/ency/article/003418.htm
- Medline Plus: Knee arthroscopy - http://www.nlm.nih.gov/medlineplus/ency/article/002972.htm
Biopsies that may be considered if vasculitis or amyloidosis is suggested:
- Medline Plus: Skin lesion biopsy - http://www.nlm.nih.gov/medlineplus/ency/article/003840.htm
- Medline Plus: Nerve biopsy - http://www.nlm.nih.gov/medlineplus/ency/article/003928.htm
- Medline Plus: Rectal biopsy - http://www.nlm.nih.gov/medlineplus/ency/article/003891.htm
- Medline Plus: Renal biopsy - http://www.nlm.nih.gov/medlineplus/ency/article/003907.htm
Document Provenance and History
Document Author: Dr. Fazal Danish
Document Created: 8th May 2006
Document Edits: