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Definition:
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Rheumatology, a
subspecialty of internal medicine, is devoted to the
diagnosis and therapy of rheumatic diseases.
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Patient Services:
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The Rheumatology Clinic focuses on providing quality
care and ongoing treatment services to patients with
rheumatologic disorders.
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Diagnosing and treating patients with different
musculoskeletal complaints. This includes thorough
clinical evaluation and laboratory work out.
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Instituting the appropriate treatment as early as
possible.
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Monitoring the progression of different rheumatological
diseases using appropriate international standards of
assessing disease outcomes for different rheumatological
disorders, such as (DAS 28, SLEDAI, SLICC, ect).
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Admitting patients for in hospital cytotoxic therapy (cyclophosphamide),
prostaglandin E2, and anti-TNF therapy (infliximab).
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Monitoring treatment
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Monitoring the efficacy of treatment.
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Possible side effects of treatment.
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We use internationally recommended tools for assessing
disease activity for different rheumatological disorders
such as e.g.: DAS 28 in case of RA, SLEDAI in case of
SLE.
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We look after patients with metabolic bone disease.
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We also perform several procedures in our unit such as :
1.
Skin biopsy
2.
Liver biopsy
3.
Joint aspiration therapeutic and diagnostic
4.
Intra-articular joint aspiration and injection.
5.
Ascetic fluid aspiration for diagnostic and
therapeutic purposes.
6.
Pleural fluid aspiration therapeutic and
diagnostic.
7.
Lumbar puncture.
Who sees
a Rheumatologist?
Diseases
diagnosed or managed by the rheumatologist include:
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Rheumatoid arthritis
Lupus erythematosus
Sjögren's syndrome
scleroderma (systemic sclerosis)
dermatomyositis
polychondritis
polymyositis
polymyalgia rheumatica
osteoarthritis
Septic arthritis
Psoriatic arthropathy |
Enteropathic spondylitis
Reactive arthropathy
Vasculitis
Polyarteritis nodosa
Henoch-Schönlein purpura
Serum sickness
fibromyalgia
gout, pseudogout
spondyloarthropathies
ankylosing spondylitis
Reactive arthritis (Reiter's syndrome)
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Wegener's granulomatosis
Giant cell arteritis
Temporal arteritis
Takayasu's arteritis
Behçet's syndrome
Kawasaki's disease (mucocutaneous lymph node
syndrome)
Buerger's disease (thromboangiitis
obliterans) |
Diagnosis:
Apart from an extensive medical history and physical
examination, a rheumatologist may apply the following
diagnostic methods:
• Laboratory tests (e.g. erythrocyte sedimentation rate,
rheumatoid factor)
• X-rays of affected joints and other imaging methods
• Cytology and chemical pathology of fluid aspirated
from affected joints (e.g. to differentiate between
septic arthritis and gout)
Treatment:
• The unit is specialized unit in diagnosing and
treating rheumatological disorders on highest
international standard and utmost care, and we do so
through:
• Gathering history data and performing thorough
locomotor examination.
• Interpretation of different radiological
investigations of musculoskeletal system.
• Perform different serological tests for connective
tissue disease when it is indicated.
• We offer our patients symptomatic treatments, as well
as immunosuppressive therapy when is indicated.
• We apply Rheumatology Unit guidelines, which are based
on the current available evidence in the literature.
These guidelines are updated regularly
Location of Service:
Ground floor…………
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Hours of Service:
Rheumatology Clinic:
Monday 03:00 PM
- 09:00 PM.
Thursday 07:30
AM - 02:30 PM.
Osteoporosis Clinic:
Wednesday 07:30
AM- 02:30 PM.
Team Rounds:
Sunday, Tuesday, and
Wednesday.
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