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A Load of Bollocks by "StiK"

By "StiK"

This sequel to ''101 makes use of For a couple of Bollocks'' peeks into the realm of fancy gown bollocks, bollock add-ons and such movies as ''ET - the additional Testicle''.

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Diagnosis O Combined approach – Diagnosis requires a combination of data from history, physical examination and laboratory testing. O JIA – Disease onset before the 16th birthday, persistent objective arthritis in one or more joints for at least six weeks, and exclusion of other causes of childhood arthritis. O Misdiagnosis – Occurs when one or more of the following four key points are missed: 1. Objective arthritis must be present. This is defined as joint swelling, joint effusion, or the presence of two or more of the following: limitation of motion, tenderness, pain on motion, or joint warmth.

Patient’s assessment of physical function Any patient self-assessment instrument which has been validated, has reliability, has been proven in RA trials to be sensitive to change, and measures physical function in RA patients is acceptable. Instruments which have been demonstrated to be sensitive in RA trials include the AIMS, the HAQ, the Quality (or Index) of WellBeing, the MHIQ, and the MACTAR 7. Acute-phase reactant value A Westergren ESR or a CRP level ACR, American College of Rheumatology; AIMS, Arthritis Impact Measurement Scales; CRP, C-reactive protein; ESR, erythrocyte sedimentation rate; HAQ, Health Assessment Questionnaire; MACTAR, McMaster Toronto Arthritis Patient Preference Disability Questionnaire; MHIQ, McMaster Health Index Questionnaire; RA, rheumatoid arthritis.

A precise history starts any work-up. In addition, a complete musculoskeletal examination should be performed, emphasizing careful palpation, passive range of motion (ROM), active ROM, and sometimes, active ROM with resistance. Treating regional pain focuses on patient education, pain management, and physical therapy. Guidelines for Management of Regional Rheumatic Pain Syndromes 1. Exclude systemic disease and infection by appropriate methods. Diagnostic aspiration is mandatory in suspected septic bursitis.

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