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Articles tagged with "Ultrasound"

Coding Corner Question: Is This Shoulder Ultrasound Billable?

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A 32-year-old male patient with rheumatoid arthritis affecting multiple joints without rheumatoid factor returns to the office for a follow-up visit with the nurse practitioner (NP). The patient states his overall pain has improved since his previous visit, although he rates the severity of his right shoulder and right wrist pain at a 5 on…

Advanced Practice Providers Should Learn Musculoskeletal Ultrasound

Heather Benham, DNP, RN, CPNP, RhMSUS, on behalf of the ARP Practice Committee   |  

I have worked as an advanced practice provider (APP) in pediatric rheumatology for nearly 16 years. My collaborating physicians have allowed me to function to the full extent of my scope of practice while allowing me to develop professionally within the subspecialty. My latest endeavor has been learning how to perform musculoskeletal ultrasound (MSUS) and…

Ultrasound Image Review: A 30-Year-Old Woman with Left Foot Pain

Eugene Kissin, MD, RhMSUS, & Catherine Bakewell, MD, RhMSUS  |  

Presentation A 30-year-old woman presented to her rheumatologist for left foot pain of three weeks’ duration. She was followed for systemic lupus erythematosus manifesting in arthritis and hemolytic anemia, as well as anti-nuclear antibody and Smith antibody positivity, and was treated with hydroxychloroquine and prednisone in the 2.5–10 mg per day range. She was symptom…

Insights on the Diagnosis & Treatment of Low Back & Hip Pain

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CHICAGO—Two experts presented insights on the diagnosis and treatment of low back and hip pain, including a refresher course on the mechanical structures involved, in Anatomy in a Day: Demystifying Low Back Pain and Lateral Hip Pain: New Patho-Anatomical Perspectives, a session at the 2018 ACR/ARHP Annual Meeting. Low Back Pain Avoid using such terms…

The Diagnostic View: Ultrasound of a Child’s Sore Knee

Clara Lin, MD, RhMSUS  |  

Editor’s note: In this recurring feature, we first present a series of ultrasound images for your review, and then a brief discussion of the findings and diagnosis. Before you scroll to the discussion, examine these images carefully and draw your own conclusions. History A 2-year-old boy with a history of multiple strokes and vertebral artery…

Ultrasound as RA Treat-to-Target Strategy Doesn’t Improve Long-Term Outcomes

Larry Beresford  |  

An analysis of treat-to-target therapy assessing two ultrasound definitions of remission for patients with early rheumatoid arthritis (RA) has concluded that using ultrasound remission as a target was not associated with better long-term outcomes for RA patients.1 Compared with MRI, ultrasound costs less, is more accessible and offers the ability to scan more joints in…

Ultrasound Training Tips & Pitfalls

Eugene Kissin, MD, RhMSUS; Paul J. DeMarco, MD, FACP, FACR, RhMSUS; Daniel G. Malone, MD, RMSK; Catherine Bakewell, MD, RhMSUS; Karina Torralba, MD, FACR, CCD, RhMSUS; Rany al Haj, MD; Narandra Bethina, MD, RhMSUS; Clara Lin, MD, RhMSUS; Amy M. Evangelisto, MD, RhMSUS; Jay Higgs, MD, RhMSUS; & Midori Jane Nishio, MD, RhMSUS  |  

The past 20 years have seen dramatic changes in the practice of rheumatology, ranging from bench to bedside therapeutic advances to dramatic improvements in diagnostic imaging. The results have been gratifying for our patients and attractive to internal medicine trainees making subspecialty career decisions. We are pleased to provide this article for The Rheumatologist’s wide-ranging…

Using Ultrasound to Diagnose Carpal Tunnel Syndrome

Mark H. Greenberg, MD, RMSK, RhMSUS, Julian Greer, & James W. Fant Jr., MD  |  

Note: Updated May 2, 2018, to correct a link in the reference section. The error was introduced in editing. A 44-year-old Caucasian woman presented to the outpatient rheumatology clinic that had followed her for several years for rheumatoid arthritis. She was compliant with her regimen of hydroxychloroquine, etanercept and salsalate. Her chief complaint was worsening…

Hyperuricemia Doesn’t Always Indicate Gout in Rheumatic Disease

Veronika Sharp, MD, Alice Chuang, MD, Lily Kao, MD, RMSK, & Midori Jane Nishio, MD, RhMSUS  |  

A 57-year-old Ghanaian woman was referred to our rheumatology practice with acute, left elbow swelling and pain. The referring oncologist suspected gout, because the patient had hyperuricemia. Six months before, the patient was diagnosed with stage IV human T-lymphotropic virus type 1 (HTLV-1)-associated adult T cell lymphoma (ATLL). Her initial oncologic manifestations included multiple thoracic,…

Whole-Body MRI, Ultrasound Imaging May Aid in Early Rheumatic Disease Diagnosis, Treatment

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MADRID—Researchers say that whole-body MRI could yield an earlier diagnosis of spondyloarthropathy (SpA) in patients with early inflammatory joint symptoms, according to findings presented in a poster session at the Annual European Congress of Rheumatology (EULAR). The approach could lead to earlier treatment and better outcomes, they say. Investigators at the University of Leeds recruited…