Rheumatic disease follow-up examination items

  I hope you know what the review is to check, if you can check locally, you can check in the hospital above the county level to bring the checklist to reduce the waiting time.  Rheumatic diseases are chronic diseases, so it is necessary to find a doctor to review regularly after getting sick, and most of the patients who can be formally reviewed can achieve the most ideal disease control and less serious problems. In fact, the review is the doctor’s evaluation of the disease process, the doctor based on the conclusions of this evaluation to adjust the treatment plan. It is roughly divided into two aspects: 1. changes in disease activity and severity: that is, the evaluation of the patient’s treatment effect, the symptoms and changes in the disease can be made by the doctor and the patient respectively, this depends on the contact with the patient to determine. Laboratory tests mainly include the review of the original abnormal indicators, such as urine protein quantification, etc. Other common ones are blood sedimentation and c-reactive protein. Patients with lupus and vasculitis may also be checked for complement or anti-double-stranded DNA antibodies.  2. Evaluation of drug side effects and comorbidities: such as hypertension, hyperlipidemia and other indicators, but mainly including blood routine, urine routine, glutathione transaminase and glutamic oxalacetic transaminase which reflect liver damage, the latter can also indicate muscle lesions to a certain extent if it is significantly elevated. Blood albumin, globulin, which reflects liver function and nutritional status of the body, globulin, which reflects the total amount of antibodies, inosine, which reflects renal function, and blood glucose and lipids should be checked in patients on glucocorticoids. Patients taking warfarin should have their PT, APTT and INR checked regularly. patients applying glucocorticosteroids should especially have their blood glucose investigated. diabetes, and even life-threatening, so it is especially important!  3. Regular imaging examinations, such as joint films every six months to a year, high-resolution CT once a month for interstitial pneumonia, and once every three months after stabilization, and cardiac ultrasound at the same frequency for patients with pulmonary hypertension.