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Chronic Inflammatory Polyarthritis – Decision Tool
Aug 18, 2018
•
Mark Morgan
categories:
Musculoskeletal & Rheumatology
Chronic Inflammatory Polyarthritis - Decision Tool
Note: This decision tool assumes a chronic (6+ weeks), inflammatory
(go to decision tool)
, articular
(go to decision tool)
disorder that affects more than 3 joints.
Yes
No
<-- QUESTION 1: Is the arthritis SYMMETRICAL?
Findings in Rheumatoid Arthritis
1. PIP, MCP, and/or MTP joints involved
2. Rheumatoid nodules
3. Elevated Rheumatoid factor
4. Radiological evidence of RA
Yes
No
<-- Are any of the 4 findings in Rheumatoid Arthritis (above) present?
INTERPRETATION -->
Evaluate for spondyloarthropathy
(go to Spondyloarthropathy Calculator)
Rheumatoid arthritis is likely, can the diagnosis be confirmed? evaluate likelihood
(go to Rheumatoid Arthritis Likelihood Calculator)
, check against RA criteria
(go to 2010 Rheumatology Criteria Calculator)
, and order other tests if needed
(go to Testing for Chronic Inflammatory Arthritides Calculator)
Evaluate for spondyloarthropathy
(go to Spondyloarthropathy Calculator)
PLEASE ANSWER QUESTION 1
PLEASE ANSWER QUESTION 2
display/hide references
reference:
Lipsky P. Algorithms for the diagnosis and management of musculoskeletal complaints: A new tool for the primary-care provider. Am J Med. 1997 Dec 29;103(6A):1S-2S.
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