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Rheumatology


If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or seek emergent medical advice if in a remote region.

Rheumatoid Arthritis

  • Concerns for septic arthritis
  • Complications of disease or therapy requiring emergent review – systemically unwell

Peripheral Spondyloarthritis - Psoriatic arthritis and Reactive arthritis

  • Concerns for septic arthritis
  • • Complications of disease or therapy requiring emergent review – systemically unwell

Axial Spondyloarthritis – Ankylosing Spondylitis

  • Concerns for septic arthritis
  • Complications of disease or therapy requiring emergent review – systemically unwell

Crystal Arthritis – Gout and CPPD (pseudogout)

  • Concerns for septic arthritis
  • Severe drug reaction to Allopurinol

Polymyalgia Rheumatica

  • Complications of disease or therapy requiring emergent review – systemically unwell

Connective Tissue Disease - SLE, Scleroderma, MCTD, Sjogren’s Syndrome and undifferentiated or overlap CTDs

  • Complications of disease or therapy requiring emergent review – systemically unwell

Myositis - polymyositis, dermatomyositis, CTD associated myositis and undifferentiated inflammatory myositis

  • Complications of disease or therapy requiring emergent review – systemically unwell

Vasculitis

  • Complications of disease or therapy requiring emergent review – systemically unwell

Giant Cell Arteritis/Temporal Arteritis

  • Presentation to ED if visual disturbance or loss
  • Complications of disease or therapy requiring emergent review

The following are not routinely provided in a public Rheumatology service.

Nil noted