Category Archives: Rheumatology

Seronegative spondyloarthropathies

Introduction Among the thousands of patients whom you might want to diagnose with mechanical low back pain, one or two might actually have one of the seronegative spondyloarthropathies, an important group of systemic diseases, which requires careful and particular management. The seronegative spondyloarthropathies are: Seronegative (= negative for rheumatoid factor and anti-citrullinated protein antibodies) Spondyloarthropathies ( = predilection… Read More »

Physical Examination of the Spine and Extremities by Stanley Hoppenfeld

There are very few medical books in existence about which one can be tempted to declare, “I doubt whether in my lifetime there will ever be another book about this topic that is as good as this one.” In fact, I know only one medical book about which a statements like this might be said with a fair… Read More »

Back Pain: a “Worst First” Approach

When it comes to back pain, think of the worst, i.e. the most dangerous ones, first. That way you won’t miss anything critical, either in real life or on the Boards. Cardiovascular Upper back pain: consider acute coronary syndrome or thoracic aortic dissection Lower back pain: consider abdominal aortic aneurism or rupture (older smoker) and retroperitoneal hematoma. Look for distended… Read More »