This patient presented to establish care with a rheumatologist. His chief complaint was joint aches. The symptoms began in childhood after the surgical repair of congenital talipes equinovarus. He stated the symptoms began to significantly worsen approximately 18 months ago around the time he was formally diagnosed with celiac disease. He also reported history psoriasis and had a skin lesion indicative of psoriasis, but he was never formally diagnosed.
During the history, I encourage the patient to tell the story of his pain from when it first started, in order to establish the etiology and a chronology of his symptoms, diagnostic tests, and treatments that he received over the years. The assessment was comprehensive and focused on disease
During the history, I encourage the patient to tell the story of his pain from when it first started, in order to establish the etiology and a chronology of his symptoms, diagnostic tests, and treatments that he received over the years. The assessment was comprehensive and focused on disease