Confirming diagnosis
The process of confirming a diagnosis.
Confirming Diagnosis
Dr. Samuel Whittle
Rheumatologist, The Queen Elizabeth Hospital, Adelaide
While it can seem like a slow process, often that stepwise logical process of taking a history, doing an examination, doing some tests, and then observing, can actually be the best way to quickly reach the correct diagnosis.
Linda Bradbury
Nurse Practitioner, Rheumatology, University of Queensland
President, Rheumatology Health Professionals Australia
That initial consultation, the GP is more than likely to prescribe you some painkillers in the first instance; to kind of tide you over, if you like.
Dr. Marina Kang
General Practitioner
I like to give patients an overall summary of what we’ve done in the consultation especially with their joint so I tend to write things down for them; what we’ve done, what blood tests we have ordered, and what to expect when we get them to come back for the results. I’d like to get them to have their blood tests done and then any x-rays done before their next consultation so then we have a complete set of foundational information to be able to help them to be more specific about their diagnosis. So by then the patients have had a time to maybe process some of that information and see how their signs are going, what their stiffness and pain is like – whether it’s improved or gotten any worse perhaps – and then we get them back for their consultation with the information now of the bloods and the x-ray results. With those bits of information we then go on to giving them an option of what they want to do with their symptoms.
Confirming diagnosis
Initial GP visit
Key questions & history taking
Piecing the symptoms together
Referral to rheumatologist
Visiting Physio or GP
Other therapies
What is a rheumatologist?
Preparing for first consultation
Questions rheumatologists will ask
Tests rheumatologists may conduct
Your online research
Rheumatologists can help
Tips and suggestions
Living well with arthritis
Next steps after diagnosis
Reaction to diagnosis
Finding a supportive environment
Working to achieve your goals
Working with your rheumatologist
Developing a working relationship
Treatment management
Personalising treatment plans
Lifestyle management sleep & smoking
Lifestyle management exercise
What is adherence
Exercise
Finding the right treatment
Understanding side effects
Side effects vs benefits
Risk of avoiding medications
Importance of monitoring side effects
Considering the immune system
NSAIDs
Immediate treatment
Introduction to methotrexate
Methotrexate compared with chemotherapy
Methotrexate early side effects
DMARDs
Introduction to biological treatment
Ankylosing spondylitis & biologics
Moving to biological treatment
Biologics are they for you?
Finding the best biological treatment
Changing biologics
Biologics
Early treatment
Treatment disease modifying drugs
Customised treatment
Other treatment options biologics
Treating AS
Treating PsA