taking a rheum history

Question 1

joint based symptoms

Answer 1

1 - joint or bone pain inc back
2 - stiffness
3 - swelling
4 - is it worst in the morning when you wake up or after a long day. (inflame vs mech)
15 - previous episode

Question 2

systemic symptoms

Answer 2

5 - rashes
6 - hair loss
7 - eye problems (epi/scleritis)
8 - mouth problems (ulcers)
9 - breathing problems (pleuritis)
10 - chest pain/heart problems (pericarditis)
11 - raynaud's
12 - haematuria
13 - muscle pain or weakness
14 - sphincter control
16 - recent infections
- GI problems e.g. crowns or UC

Question 3

other

Answer 3

HPC
FH - autoimmune, cancer
DH
SHx
SR 
risk factors - smoking
ICE