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For more information, go to www.arthritisresearchuk.org

Investigations

Serology

Review 20 patients you have seen in the last year who have had rheumatology serology tests (e.g. rheumatoid factor, anti-CCP, HLA-B27, ANA/ANF).

Were these patients subsequently referred to see a rheumatologist?

  • How much information did the tests add to the clinical picture?

  • Did they affect your management of the patient?

X-rays

Consider performing a retrospective review of patients who have had x-rays for knee pain in the past year:

  • Did your history and examination findings correlate with the x-ray report?
  • Did the result of the x-ray alter your management? 
  • How will this change your approach in future?

Consider performing a retrospective review of patients who have had x-rays for back pain in the past year:

  • Did your history and examination findings correlate with the x-ray report?
  • Did the result of the x-ray alter your management?
  • How will this change your approach in future?

Magnetic Resonance Imaging (MRI)

Consider performing a retrospective review of patients who have had MRI scans for knee injuries (Read code for MRI scan: 56N91):

  • Did your history and examination findings correlate with the MRI report?
  • How will this change your approach in future?
  • How confident do you feel about diagnosing a meniscal injury or ligament injury without an MRI scan?

Consider performing a retrospective review of patients who have had MRI for back or neck pain in the past year (with or without radiculopathy):

  • Did your history and examination findings correlate with the MRI report?
  • How will this change your approach in future?
  • How confident do you feel about diagnosing a prolapsed disc without an MRI scan?
For more information, go to www.arthritisresearchuk.org.
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