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Search results for: fibromyalgia

Case Report: A Psoriatic Arthritis Patient with Dactylitis & Enthesitis

Samantha C. Shapiro, MD; Jemima Albayda, MD; & Ana-Maria Orbai, MD, MHS  |  September 20, 2018

A 36-year-old woman presented at the Johns Hopkins Arthritis Center for a second opinion regarding a diagnosis of psoriatic arthritis (PsA). One year prior to our evaluation, she had developed pain and stiffness in her hands, feet, knees, ankles, elbows and shoulders. She had mild plaque psoriasis of the scalp and base of the neck,…

Filed under:ConditionsOther Rheumatic ConditionsPsoriatic Arthritis Tagged with:DactylitisEnthesitisPsAPsoriatic Arthritis

Vladislav Gajic / Shutterstock.com

Advanced Practice Clinicians May Help Close the Workforce Gap

Paul H. Caldron, DO, PhD, FACP, FACR, MBA  |  September 20, 2018

GLENDALE, ARIZ.—Arizona is a microcosm of America’s challenges in reconciling the rheumatology workforce to growing patient demand, as quantified in the ACR’s Workforce Study of 2015.1 So it was timely this year for the Phoenix Rheumatology Association to sponsor its 1st Annual Strategic Training for Rheumatology Advanced Practice Clinicians Symposium. (Note: Advanced practice clinicians [APCs]…

Filed under:Practice SupportWorkforce Tagged with:Advanced Practice Cliniciansnurse practitionerphysician assistantsworkforce projections

Nurse Practitioners Provide Advanced Care & Support

Karen Appold  |  July 30, 2018

With their ability to provide treatment and manage chronic illnesses, nurse practitioners can aid rheumatologists in the care of their patients…

Filed under:Conditions Tagged with:healthcare teamnurse practitionerpatient carePractice Management

Ethics Forum: What to Do with the Inherited Opioid Patient?

Edward P. Rose, MD  |  July 19, 2018

A 67-year-old man with a recent onset of diffuse muscular pain and stiffness and an erythrocyte sedimentation rate of 55 is referred to you by his family practitioner. He has a history of non-insulin-dependent diabetes mellitus, but no history of headaches or swollen joints. He has chronic back pain, has had two surgeries and was…

Filed under:Ethics Tagged with:opioid crisis

Anticonvulsants Unhelpful for Low Back Pain

Marilynn Larkin  |  July 7, 2018

NEW YORK (Reuters Health)—Solid evidence suggests that anticonvulsants provide no benefit for low back or lumbar radicular pain and a high risk of harm, researchers say. “We started the study because these drugs were increasingly being used for low back pain and radiating leg pain, without the support of strong evidence of effectiveness,” principal investigator…

Filed under:Conditions Tagged with:anticonvulsive druglow back painPainPain Management

Ethics Forum: Righting the Wrong Diagnosis

Joseph L. Green, DO  |  May 18, 2018

A 54-year-old woman is establishing care in your clinic after retirement of her previous rheumatologist. Your review of her records suggests that she was diagnosed with systemic lupus erythematosus seven years ago on the basis of symptoms of body pain and fatigue, and serologic evidence of positive ANA 1:40 (speckled) and borderline anti-SSB antibody. She…

Filed under:Ethics Tagged with:DiagnosisEthics

6 Things Endocrinologists Want Rheumatologists to Know

Vanessa Caceres  |  May 17, 2018

In your daily contact with rheumatology patients, you likely come across several who have type 1 or 2 diabetes. Are you doing all you can to maximize their treatment? Most physicians know about the damaging health effects of uncontrolled diabetes. From vision loss to kidney failure to nerve damage, those with diabetes require regular vigilance…

Filed under:Conditions Tagged with:collaborationcommunicationdiabetesinterdisciplinarySteroids

Telehealth Is Helping the Underserved

Linda Childers  |  April 26, 2018

For many uninsured and underinsured patients in Yuba City, Calif., seeing a rheumatologist used to mean taking a day off from work and driving 108 miles, roundtrip, to the University of California Davis Medical Center. That changed this year when patients were offered the option of having a telemedicine consultation with a rheumatologist as part…

Filed under:Information TechnologyTechnology Tagged with:MAVENMedical Alumni Volunteer Expert Networktelehealthtelemedicine

How & Why Attending Physicians Should Teach in Patient Rooms

Bharat Kumar, MD, MME, FACP, FAAAAI, RhMSUS  |  April 26, 2018

No matter where you practice, rheumatology clinics are extremely busy. And in that hustle and bustle we find an uncomfortable jostling of priorities between delivering optimal care for as many patients as possible and upholding education for teachers and learners at all levels. Because salary usually comes from seeing more and more patients, teaching is…

Filed under:Education & Training Tagged with:communicationEducationfellowmedical studentphysicianresidencyrheumatologistrheumatologyTraining

Cannabis in Rheumatology Care: A Look at the Latest Research & What Rheumatologists Are Telling Their Patients

Carina Stanton  |  March 26, 2018

As medical and recreational marijuana becomes more accessible, researchers seek creative ways to study the cannabis plant and explore the complexities of the endocannabinoid system in pain relief. Rheumatologists currently face an influx of patients asking if marijuana can help them. Here’s a look at the evolving research on cannabinoids for rheumatologic pain management and how doctors are discussing it with their patients…

Filed under:Drug Updates Tagged with:cannabinoidcannabisLegalmarijuana

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