3. Nomenclature and classification of rheumatic diseases INFLAMMATORY JOINT DISEASES Rheumatoid arthritis Diseases of connective tissue ( SLE, Antiphospholipid syndrome,Progressive Systemic Sclerosis, Sjogren Syndrome, MCTD) Inflammatory muscle diseases (Poly/Dermatomyositis) Seronegative arthritis ( Ankylosing Spondylitis, Reiter’s syndrome, Psoriatic arthritis, Enteropathic arthritis) Crystal-related arthropathies Rheumatic fever Vasculitides OSTEOARTHRITIS SOFT TISSUE RHEUMATISM Metabolic bone diseases Miscellaneous disorders

4. Medical history in rheumatic diseases Pain Location Articular-Periarticular Referred Chronology Constant-intermittent Intensity Quality Time and mode of onset, diurnal pattern, affecting factors Stiffness-Locking Swelling Weakness and difficulty moving Fatigue Emotional lability The impact of the condition on the patient Previous medical history-Review of systems-Family history Social history and occupation- Drug history

5. Examination of the patient Inspection, palpation and observing movement JOINTS: Swelling, Warmth, Redness, Tenderness, Movement, Instability, Deformity. SOFT TISSUE (Muscles, Fasciae, Tendons, Entheses, Bursae, Skin) pathology NERVE: (entrapment and neuropathy) 1.Are any of the joints abnormal? 2. What is the matter of joint abnormality ? (acute inflammation, past inflammation, mechanical) 3.What is the extent ( distribution) of joint involvement ? (symmetrical/asymmetrical, small/large, peripheral/spinal, upper/lower limbs, favored/spared) 4.Are other features of diagnostic importance ? PSYCHOSOCIAL STATUS FUNCTIONAL IMPAIRMENT