Rheumatology Symptoms and Syndromes

Rheumatology: Symptoms and Syndromes organizes the rheumatic diseases in the form of syndromes as stable combinations of symptoms, and links these to morphological manifestations. This presentation of the rheumatic diseases provides a pedagogical framewor

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Efim Benenson

Rheumatology Symptoms and Syndromes

Author Efim Benenson, MD Professor of Medicine Department of Internal Medicine University of Cologne Germany The work was first published as a part of a work published in 2009 by Shaker Media in German laquage with the following title: Rheumatologie: Syndrome and Algorithmen Translation: Beverley Taylor

ISBN: 978-1-84996-461-6 DOI: 10.1007/978-1-84996-462-3

e-ISBN: 978-1-84996-462-3

Springer Dordrecht London Heidelberg New York British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Control Number: 2010936498 © Springer-Verlag London Limited 2011 Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permitted under the Copyright, Designs and Patents Act 1988, this publication may only be reproduced, stored or transmitted, in any form or by any means, with the prior permission in writing of the publishers, or in the case of reprographic reproduction in accordance with the terms of licences issued by the Copyright Licensing Agency. Enquiries concerning reproduction outside those terms should be sent to the publishers. The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore free for general use. Product liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. Cover design: eStudioCalamar, Figueres/Berlin Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)

I dedicate this book to my wife, Irina, for her patience and support, our children, Anna and Vladimir, and to our grandchildren, Patrick, Paulina, and Wlada

Preface

“Symptoms and Syndromes” is aimed at teachers who are providing their trainees with further education and instruction in the relevant areas of clinical practice. Features of the book:

• The classic textbook content of rheumatology is presented in the form of syndromes (or

signs), as stable combinations of symptoms and usually with morphological and pathophysiological backgrounds, building a bridge or link between symptoms and diseases • The principle of syndrome diagnosis which, in addition to the indispensable description of entities, should be integrated into the initial stages of clinical practice • How to approach and structurally classify diseases from the viewpoint of morphological manifestations, as a fast route to diagnosis • The clinical work from patient to disease, enabling preclinical and clinical knowledge on the concrete clinical case to be interlinked and stored in the long-term memory • Algorithms of clinical reasoning, leading to integrated staged diagnostics based on morphology and pathophysiology • A basic program of