Dialogue: Manik
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Rheumatologists perform examinations and procedures that help them diagnose and treat rheumatic conditions.
These procedures include:
A rheumatologist usually performs a complete physical exam when they see a person for the first time or when they want to monitor the effects of a current treatment regimen.
During a physical exam, a rheumatologist will assess the person’s overall physical condition by checking their pulse, listening to their lungs and heart, and feeling for swollen lymph nodes.
They will spend extra time examining the areas where people report feeling pain or stiffness. They might ask a person to bend, flex, or stretch these areas. They will also look at the joints on both sides of the body to compare size, intensity of inflammation, range of motion, and function.
Arthritis can affect one or more joints, with some people experiencing symptoms on one side of the body and others noticing pain and stiffness on both sides of the body.
A rheumatologist will also review a person’s medical history, current medical conditions, and family history during this comprehensive examination and ask questions to identify other related symptoms they may be experiencing.
Rheumatologists diagnose systemic inflammatory diseases and musculoskeletal conditions. They use a variety of tests to identify the underlying cause of a person’s symptoms.
Some potential causes of inflammation include:
A rheumatologist can also diagnose conditions that cause bone or cartilage loss, including osteoporosis and osteoarthritis.
A primary care physician or rheumatologist can use different imaging tests to look for signs of joint damage. Some imaging tests that they might conduct include:
Laboratory testing involves taking blood, urine, skin, or joint fluid samples for further analysis.
A rheumatologist can use lab test results to identify signs of inflammation and infections, such as higher-than-normal levels of inflammatory reactants, antibodies, or white blood cells.
They can also perform tests to look for specific genetic markers that may increase the person’s risk of specific autoimmune or inflammatory conditions.
For instance, according to the ACR, about 60–70% of people with European ancestry and rheumatoid arthritis carry a gene called HLA-DR4. The HLA system regulates the immune system.
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