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Early Inflammatory Arthritis Referral Form: RA, Lupus (SHE) Please use this form if you believe your patient requires rapid assessment of their inflammatory arthritis signs & symptoms. Dr Shibuya
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How to fill out early inflammatory arthritis referral

How to fill out early inflammatory arthritis referral:
01
Obtain the patient's complete medical history, including any previous diagnoses or treatments related to arthritis.
02
Perform a thorough physical examination to assess joint swelling, tenderness, and range of motion. It is important to document any evidence of inflammation.
03
Order relevant laboratory tests, such as rheumatoid factor, anti-cyclic citrullinated peptide (anti-CCP) antibodies, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP). These tests can help confirm the diagnosis of early inflammatory arthritis.
04
Consider imaging studies, such as X-rays or ultrasound, to further evaluate joint damage or inflammation.
05
Consult with a rheumatologist to discuss the patient's case and obtain their expert opinion on the need for an arthritis referral.
06
Fill out the referral form, providing accurate and detailed information on the patient's symptoms, duration of symptoms, relevant medical history, laboratory results, and imaging findings.
07
Include the patient's contact information and any preferred rheumatologist or clinic, if applicable.
08
Submit the referral form to the appropriate referral center or rheumatology department as per the institution's guidelines.
Who needs early inflammatory arthritis referral:
01
Patients with persistent joint pain, swelling, and stiffness that last for more than six weeks.
02
Individuals who have a positive rheumatoid factor or anti-CCP antibodies.
03
Patients with an elevated ESR or CRP level, indicating systemic inflammation.
04
Individuals with a significant family history of autoimmune diseases or rheumatoid arthritis.
05
Patients who have experienced joint damage, as evidenced by imaging studies.
06
Individuals who have failed to respond adequately to conservative treatment, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroid injections.
07
Individuals suspected of having inflammatory arthritis based on clinical examination findings.
It is important to consult with a healthcare professional to determine the specific criteria and guidelines for an early inflammatory arthritis referral in your healthcare setting.
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What is early inflammatory arthritis referral?
Early inflammatory arthritis referral is a process where patients with symptoms suggestive of inflammatory arthritis are referred to a specialist for further evaluation and treatment.
Who is required to file early inflammatory arthritis referral?
Healthcare professionals such as primary care physicians or rheumatologists are required to file early inflammatory arthritis referral.
How to fill out early inflammatory arthritis referral?
Early inflammatory arthritis referral can be filled out by providing patient information, medical history, symptoms, and relevant test results.
What is the purpose of early inflammatory arthritis referral?
The purpose of early inflammatory arthritis referral is to ensure timely diagnosis and treatment of inflammatory arthritis to prevent long-term joint damage.
What information must be reported on early inflammatory arthritis referral?
Information such as patient demographics, medical history, symptoms, and relevant test results must be reported on early inflammatory arthritis referral.
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