Rheumatologist

The rheumatologist – the doctor who deals with issues of rheumatic diseases, their identification, treatment and rehabilitation. From the name of specialty it can be not absolutely clear that the rheumatologist treats. Various joints most often are under authority of the rheumatologist.

Carry to the most widespread diseases which are within the remit of the rheumatologist:

• rheumatic fever (rheumatism);
• the defects of valves of heart acquired owing to rheumatic fever;
• diffusion diseases of connecting fabric (scleroderma, system lupus erythematosus, myopathies, etc.);
• arthritises (reactive, psoriasis, etc.);
• ankylosing spondylitis;
• vasculites;
• gout;
• osteoarthroses;
• osteoporosis.

The broken immune responsiveness, the aggression directed to own body tissues is the cornerstone of rheumatic diseases. Most often the musculoskeletal system suffers from it.

On reception to the rheumatologist patients get generally in the direction and the recommendation of the therapist or the surgeon which patients addressed with complaints to disturbances in health. The rheumatology is very closely connected with other fields of medicine as the fact that the rheumatologist treats, has similarity to many cardiological, infectious, hematologic, oncological diseases.

Features of inspection

The main complaints of patients with rheumatic diseases on reception at the rheumatologist – pains and discomfort in joints. Sometimes patients are disturbed by morning constraint in joints which is characterized by a temporary restriction of mobility in them right after a dream. The temporary restriction of mobility in a neck, a waist, knees can be observed. The area around the affected joint quite often swells, and pains repeat with a certain frequency, gaining character of chronic.

During the conversation with the patient the rheumatologist also finds out the anamnesis of a disease. He can be interested in the infections transferred the patient, his way of life, character of food, heredity by rheumatic diseases, the frequency of catarrhal diseases. Judging by responses of rheumatologists, quite often at rheumatic diseases of a problem with joints were also at parents of patients, and joints began to hurt at rather young age.

At survey the rheumatologist sees changes in the affected joint in the form of a swelling or puffiness, sometimes ring-shaped reddenings. In some cases external displays of a disease can not be.

Except survey laboratory and tool confirmation of the diagnosis is required. Are most informative, judging by responses of rheumatologists, the following laboratory indicators:

• S-reactive protein;
• Rhematoid factor;
• Antinuclear antibodies;
• Proteinogramma;
• Uric acid;
• Neopterine.

The general blood test can also show existence of an inflammation in an organism.

For the rheumatologist the following tool methods a computer tomography, a magnetic and resonant tomography, densitometry are most significant.

Only on the basis of comprehensive inspection and an exception of other diseases it is possible to make the correct diagnosis and to appoint effective treatment.

Children's rheumatologist

The rheumatology as the section of medicine, is subdivided more narrowly – on an age factor. At children the children's rheumatologist as rheumatic diseases have features, characteristic of each age, is engaged in treatment of similar diseases began, currents and therapies.

Rheumatic diseases affect people who in the childhood often had quinsies. The role of streptococci in developing of this pathology is proved. Heart diseases form after the rheumatic fever postponed at children's age if the child did not receive etiotropic treatment concerning an infection (antibiotic).

The children's rheumatologist as therapy selects only the drugs resolved for children, expecting their dosage kilogram of weight or the area of a body.