1. You must see the patient in person! Your mind will often change after seeing the patient, even if it is just a short glimpse; 2, always refer to the anatomical knowledge of muscles, bones, blood vessels and nerves helps to better organize, comprehensive and focused history taking and physical examination of rheumatic diseases; 3, before deciding to give the patient an examination, it should be clear what the purpose of the examination is and what abnormal findings will have on your diagnosis and treatment strategy The more you know, the more you can prescribe a test. The more you know, the less tests you can prescribe; 4. It is much more difficult to exclude rheumatic diseases than to confirm rheumatic diseases; 5. The majority of shoulder arthralgia lesions are in the periarticular tissues (i.e., bursitis or tendonitis); most lower back pain is non-surgical; 9. Most patients with positive rheumatoid factor are not RA; most patients with positive ANA are not SLE; 12. Patients with systemic connective tissue disease who present with fever and multisystem lesions should first consider infection and other non-rheumatic disease causes rather than primary disease activity. Far more patients die from infections than from underlying rheumatic disease.