Precautions for rheumatology follow-up patients before follow-up consultation

  It is best for rheumatology patients to have the relevant tests done before the follow-up appointment in order to reduce unnecessary waiting and to rationalize your own time as a patient.  Also do a good job of making your next visit and registering for an appointment in advance.  You should be careful to listen to the contents of your next follow-up visit, which are recorded in your medical record. Li Jiangtao, Department of Rheumatology and Immunology, First People’s Hospital of Yibin City  The following tests are required before follow-up visits for common rheumatic diseases: rheumatoid arthritis (RA), spondyloarthropathies and ankylosing spondylitis (AS) patients need to have their liver and kidney function, blood count, rheumatoid factor (RF), ESR and C-reactive protein (CRP) checked.  Patients with systemic lupus erythematosus (SLE) and undifferentiated connective tissue disease (UCTD) should be seen for routine blood and urine tests, complement and liver and renal function. For those with lupus nephritis (LN), 24-hour urine protein quantification (24hUPro) will be done, and the sample will be left 1 day before the follow-up. For those with active lupus, add anti-nuclear antibody (ANA) and double-stranded DNA (dsDNA).  Blood count and liver function will be rechecked for dry syndrome follow-up.  In patients with gout, liver and kidney function (including uric acid) and blood and urine routine will be rechecked at the follow-up visit.  For patients with osteoporosis, electrolytes (including calcium ions within) are checked every 2-3 months. The timing of bone density review is usually reviewed every six months or once a year.  Patients with psoriasis should have their blood count and liver function checked.  Patients with rheumatic fever have their anti-“O” (ASO), ESR and C-reactive protein (CRP) checked.  Patients with vasculitis are reviewed for routine blood, liver and kidney function, anti-neutrophil cytoplasmic antibodies (ANCA), and complement.