Internal Medicine — Old Core Academic Day Lectures (Until Sep 2023)

Diagnostic tests in rheumatic disease: what’s old, what’s new, what’s useful?

Teaching

Competencies covered in this activity

1. Practise medicine within their defined scope of practice and expertise
1.4. Apply knowledge of the following systems, clinical scenarios, conditions, diseases and therapies applicable to Internal Medicine, including the manifestations, investigation, and management
1.4.9. Musculoskeletal
1.4.9.1. Symptoms
1.4.9.1.1. Back pain
1.4.9.1.2. Muscular pain
1.4.9.1.3. Proximal muscle weakness
1.4.9.2. Disorders
1.4.9.2.1. Acute monoarthritis
1.4.9.2.2. Acute and chronic polyarthritis
1.4.9.2.3. Ankylosing spondylitis
1.4.9.2.4. Fibromyalgia
1.4.9.2.5. Gout and pseudogout
1.4.9.2.6. Osteoarthritis
1.4.9.2.7. Osteomyelitis
1.4.9.2.8. Paget’s disease of bone
1.4.9.2.9. Raynaud’s phenomenon
1.4.9.2.10. Rheumatoid arthritis
1.4.9.2.11. Scleroderma
1.4.9.2.12. Septic arthritis
1.4.9.2.13. Sero-negative arthropathies
1.4.9.2.14. Sjögren’s syndrome
1.4.9.2.15. Systemic lupus erythematosis
1.4.9.2.16. Temporal arteritis and polymyalgia rheumatica
1.4.9.2.17. Primary and secondary bone and soft tissue neoplasms
2. Perform a patient-centred clinical assessment and establish a management plan
2.2. Elicit a history, perform a physical exam, select appropriate investigations, and interpret their results for the purpose of diagnosis and management, disease prevention, and health promotion
2.2.1. Elicit information relevant to the risk profile for disease
2.2.2. Assess risk factors for disease progression, as well as a patient’s need for health promotion and/or health surveillance
2.2.3. Obtain relevant information from the family history
2.2.4. Elicit an accurate occupational history, as appropriate, with documentation of the patient’s exposure to occupational health hazards, safety risks, and job demands
2.2.5. Perform a complete and appropriate assessment of complex medical presentations, including consideration of competing treatment needs
2.2.6. Assess the patient’s capacity to make decisions about his/her medical care
2.2.7. Perform a functional assessment of basic and instrumental activities of daily living, mental status examination, and assessment of gait and balance
2.2.8. Perform a quantitative measure of performance status for patients with malignancy
2.2.9. Select investigation strategies, demonstrating awareness of the availability and access to resources in various clinical settings
2.2.10. Apply criteria for use of diagnostic imaging and nuclear medicine examinations, including their risks and contraindications
2.2.11. Interpret cardio-pulmonary diagnostic testing, including electrocardiograms, and related reports
2.2.12. Interpret reports of medical imaging and pathology in the context of the patient
2.2.13. Integrate, synthesize and summarize information gathered through the clinical assessment and investigations