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Article |

Rheumatology: A Primary Care Approach

George E. Ehrlich, MD
JAMA. 1983;250(11):1470. doi:10.1001/jama.1983.03340110072047.
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This book is a good primer for students, residents, and health professionals who would like a glimpse into rheumatology. It contains three sections. The first details the history and physical examination in rheumatology, the helpful laboratory and radiological studies, and the procedure of obtaining and studying joint fluid. The second section presents the various syndromic patterns that afflict the joints and supporting structures but does not scant fibrositis and other important, albeit histologically nonconfirmable, diseases. The final section discusses management, covering not merely drug treatment but also rehabilitation, surgery, and the various questionable practices and outright quackery that are commonplace in the treatment of chronic diseases, such as arthritis.

Most of the patterns of presentation are not only discussed but presented in tabular form (in some instances with indication of the frequency of occurrence of these manifestations) to aid in differential diagnosis. Several algorithms are featured to help in decision


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