This is an inviting and succinct guide to fibromyalgia, a syndrome that affects 6 million Americans annually. Fibromyalgia is a form of chronic neuromuscular pain, a pain-amplification syndrome brought on by abnormal interactions between hormones, the immune system, neurotransmitters, and the autonomic nervous system. Often misdiagnosed, and widely misunderstood, the majority of patients are turned away from doctors or treated for depression. In their earlier books Making Sense of Fibromyalgia and All About Fibromyalgia, noted medical writer Janice Wallace and Dr Daniel Wallace, a leading expert on this disorder, provided comprehensive guides - for both patients and professionals - to this little known and poorly understood syndrome. Now, in A Short Guide to Fibromyalgia, the Wallaces provide an inviting and succinct version of the syndrome laid out in clear and accessible language. The authors provide a clear, concise explanation of the syndrome and its symptoms, and outline latest treatments. A Short Guide to Fibromyalgia addresses a desperate need for concise, accessible information on this syndrome and offers reassurance to patients and their families.

This book is written primarily for occupational therapists and occupational therapy students but will be of relevance to anyone working with clients with rheumatoid disease. It is hoped that the text will communicate the challenge faced by therapists to establish management programmes appropriate to the identified needs and priorities of the individuals with whom they work, the potential to utilize a wide range of skills and the opportunity to contribute to the understanding of the many unanswered questions which remain in relation to rheumatic diseases. The aim of this book is to present an holistic approach to the management of rheumatoid disease, considering first, the ways in which rheumatoid disease can affect a person's life and then looking at the approaches and techniques used by therapists to minimize these effects. This approach has been chosen as it is fundamental to both the philosophical basis of occupational therapy and the manage ment of a chronic progressive disease. An holistic approach considers the physical, psychological, social and spiritual aspects of a person and the ways in which these have been effected by an underlying disease process. Each of the components are interrelated, illustrating the complexity of establishing appropriate management programmes and evaluating their effectiveness. The first two chapters consider the effects of rheumatoid disease on clients and their families. An holistic approach identifies the need for a diversity of skills to be available to both the therapist and client.

Compiled by Cochrane collaborators and members of OMERACT (Outcome Measures in Rheumatology), "Evidence-based Rheumatology" is an essential resource for evidence-based medicine as applied to the musculoskeletal disorders.

The introductory section covers the principles of evidence-based medicine in rheumatology, followed by clinical chapters covering all the major disorders. Each chapter includes non-drug therapy, drug therapy, and consumer evidence-based summaries.

Evidence-Based Series: "Evidence-based Rheumatology," part of the acclaimed series BMJ Evidence-based medicine textbooks that have revolutionised clinical medicine literature, comes with a fully searchable CD-ROM of the whole text. The text is kept up to date online at www.evidbasedrheum.com

Note: CD-ROM/DVD and other supplementary materials are not included as part of eBook file.

The highest-yield musculoskeletal radiology exam prep and learning tool available today! Top 3 Differentials in Musculoskeletal Imaging: A Case Review by Jasjeet Bindra, Robert D. Boutin, and expert contributors is one in a series of radiology case books mirroring the format of the highly acclaimed O'Brien classic, Top 3 Differentials in Radiology: A Case Review. The book is organized in 10 parts: trauma, bone tumors, upper extremity, lower extremity, arthropathies, infection, soft tissue tumors, metabolic musculoskeletal conditions, spine, and pediatric/developmental musculoskeletal conditions. Each case is formatted as a two-page unit. The left page features clinical images, succinctly captioned findings, and pertinent clinical history. The right page includes the key imaging gamut, differential diagnoses, additional diagnostic considerations, the diagnosis, clinical pearls, and suggested readings. Key Features A total of 146 cases, each focused on a specific imaging finding, including aggressive periosteal reaction, focal cortical thickening, diffusely increased bone density, focal periphyseal edema, acro-osteolysis, and more A wealth of meticulously selected, high-quality radiographs, CTs, and MRIs enhance diagnostic skills A list of differential diagnoses provides an ideal curriculum guide for trainees and educators alike Radiology residents, fellows, and staff radiologists preparing for certification will greatly benefit from reading this text to prep for the radiology core and certifying exams. This is also an outstanding, day-to-day practice resource for practicing radiologists, clinicians, and orthopaedic surgeons involved in reviewing and interpreting musculoskeletal radiology studies. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Gone are the days when the physician could act as God, the orthopaedic surgeon as the Lord God and the nurses as minister ing angels. The concept of a team approach with each discipline supplying special yet overlapping skills is accepted in principle, although not always in practice. Physiotherapists and occupational therapists resist integration of their training among the hierarchy; however, on the ground, these remedial therapists often do each other's jobs with remarkable amity. Elsewhere I have discussed whether we need multipurpose professionals or multiprofessional persons (Wright 1982). At Leeds the close collaboration that exists between rheumatol ogists and non-medically qualified professionals has resulted in a productive Bioengineering Group for the Study of Human Joints, a Clinical Pharmacology Unit of international renown and a Rehabilitation Unit that consistently produces bricks without straw. One aspect of this combined approach to patient care has been the development of the discipline of clinical nurse metrology (Bird et al. 1980). Skilled nursing sisters have worked in this capacity for a decade in Leeds. Their contribution has not only enhanced the reliability of the results of clinical trials in which they have been engaged, but it has been highly s;ost effective and greatly appreciated by patients. It has also measurably improved our patient education programme. Moreover, the posts have provided considerable job satisfaction. This book arises from the expertise gained during these pioneer years."

More than 140 years ago, lupus erythematosus (LE) was recognized as a disease entity by clinicians working in the field of dermatology, which had only recently become an independent medical discipline. Soon after cutaneous lupus was first reported, it was realized that, apart from the skin, the disease could involve other organs and thus be systemic in nature. The latter observations were first made by MORITZ KApOSI [1], whose work has attracted renewed attention re cently and who succeeded FERDINAND VON HEBRA to the chair of dermatology at the Medical Faculty in Vienna. The early description of lupus erythematosus in both its cutaneous and systemic manifes tations was thus intimately associated with Vienna and its Medical School. The next phase in the study of lupus was characterized by an in crease in knowledge of the type and extent of organ involvement. The work by OSLER [2], LIBMANN and SACKS [3], and KLEMPERER [4] best represents these advances. The increase in clinical knowledge of LE finally led to DUBOIS' famous monograph [5], which was pub lished at a time of renewed interest in SLE, elicited by the descrip tion by HARGRAVES et al. [6] of the LE-cell phenomenon. A more detailed analysis of this finding revealed that the disease was charac terized by an abnormal immune response, although its pathogenetic implications were still unclear.

Rheumatic and autoimmune diseases are often present in women during the childbearing years and as such, correct management of pregnancy throughout its course is of significance to all those affected. Previously women with systemic rheumatic diseases were counselled against pregnancy as the majority of medications carried potential or perceived teratogenic risk. But in recent years new therapies have emerged that have advanced treatment. Patients have experienced significant improvements in physical function, quality of life, and reduced damage accrual. As a result, an expanded cadre of health care providers now need to be able to manage pregnancy in women with underlying rheumatic disease, both in acute or chronic settings. Practical Management of the Pregnant Patient with Rheumatic Disease is a quick-access guide of the most up-to-date understanding of the interplay between pregnancy and rheumatic diseases and principles of management before, during and after pregnancy assisting in decision making regarding treatment of women with autoimmune diseases. This collection of 70 cases covers pregnancy counseling, the management of disease flares, thromboembolic disease, the management of patients with end organ disease, advice on medications, obstetric complications, infections and the management of rare diseases in women with rheumatic diseases before and during pregnancy and post-partum. The handbook provides concise recommendations for all providers who may encounter women of child-bearing age including rheumatologists, gynaecologists, paediatricians, primary care providers and health professionals dealing with pre-conceptional and pregnant women with rheumatic diseases.

Nurses must deliver up-to-date, clinically effective, evidence-based care across a range of settings and develop nursing services to meet changing demands. The revised and expanded Oxford Handbook of Trauma and Orthopaedic Nursing 2nd edition is tailored to provide the essential knowledge nurses need; at their fingertips when they need it. This handbook will guide the reader systematically through the care of patients with a wide range of musculoskeletal problems. Each chapter contains the up to date evidence-based guidelines covering a continuum from birth to death, covering everything from emergency care, rehabilitation, discharge, and end of life care. It now includes new topics such as pharmacological alternatives to blood transfusion, disability and enabling environments, hip articulations, and health promotion. Providing key summaries of common problems and essential issues, it will provide both an invaluable reference for trauma and orthopaedic nurses, as well as a precise, targeted guide for nurses from other specialties caring for patients with musculoskeletal problems.

Best of Five MCQs for the Rheumatology SCE is a new revision guide designed specifically for this high-stakes exam. It contains 300 best of five questions with explanatory answers, each accurately reflecting the layout of questions in the exam. The book is divided into three exam papers for trainees to test themselves, providing a thorough assessment of the candidate's rheumatology knowledge and covering all the main themes of the exam, for example, inflammatory arthritis, vasculitis, connective tissue disorders, metabolic and bone disease, osteoarthritis, soft tissue disorders, infections, and paediatric and adolescent rheumatology. The explanatory answers include references to guidelines and other sources to enable candidates' further reading and study. Providing high-quality questions and expert guidance, this resource is a comprehensive revision tool for senior rheumatology trainees preparing for postgraduate exams.

For eight decades the Primer on the Rheumatic Diseases has been the standard text from which most medical students and house ofcers have learned rheumatology. I myself will never forget thumbing through an older edition of the Primer as a second-year resident, while waiting to review a perplexing patient with my tutor. Fortunately the tutor was r- ning late with his own patients, so I had time to fip through the book - then much thinner - a couple of times. While turning the pages, per- ing the features of those diseases whose names were still exotic to me, and considering my patient's history of conductive hearing loss and p- monary nodules, a light went on when I stumbled eventually on a part- ular chapter. I still remember the jaw-dropping efect on my tutor of my announcement then that I had a patient with Wegener's granulomatosis. I think I became a rheumatologist that very moment! Subsequent editions of the Primer have sufered from the inevitable "obesity creep," making it an outstanding reference textbook but virtually impossible to fip through quickly while awaiting one's tutor, and even more difcult to slip into the pocket of a white coat to carry on rounds. For this reason we have created the Pocket Primer, a mini version that cuts the larger book down to its essentials.

Filled with practical advice from experienced nurses and up-to-date clinical information, this new edition of the Oxford Handbook of Musculoskeletal Nursing is the invaluable guide for all nurses and allied health professionals working with patients who have rheumatological and musculoskeletal conditions. Written to ensure that a nurse in any care environment will have the core information they require at their fingertips, this Handbook is split into three sections: musculoskeletal conditions and their management; clinical issues; and nursing care issues including treatment, nursing management, and tools. Management approaches have been fully updated since the first edition, and the changing healthcare environment and available treatments have been considered, alongside the move towards patient self-management and self-care. This Handbook also addresses the increasing demand for guidance in relation to musculoskeletal conditions, as the growing elderly and chronic disease populations needs for healthcare continue. Featuring brand new chapters on the patient's perspective, nurse-led clinics, and public health awareness, the Oxford Handbook of Musculoskeletal Nursing second edition is a practical and comprehensive guide to help the reader reach the best possible results for their patients.

The field of rheumatology has undergone numerous exciting advances in recent years, especially the development of biological drugs with novel targets, made possible by rapid advances in the basic science of musculoskeletal diseases together with improved imaging techniques. This thoroughly revised fourth edition of the Oxford Textbook of Rheumatology reflects the changing face of the specialty and the many recent advances in the science, treatment, and understanding of rheumatic diseases. The focus of this comprehensive reference work is the presentation and management of rheumatic conditions at all ages. Where relevant, treatment approaches are evidence-based and cross-referenced to national and international guidelines. Each clinical chapter provides up-to-date treatment advice illustrated with clinical vignettes as appropriate, and the authors consistently emphasize the overlap of rheumatology with other disciplines. With full colour illustrations throughout and a complementary online version, the Oxford Textbook of Rheumatology, Fourth Edition is an essential reference for all trainees and specialists in the field.

Psoriatic arthritis, or PsA, is now acknowledged the second most prevalent and important inflammatory arthropathy worldwide. The addition of this new textbook on PsA is a fitting and important inclusion to the Oxford Textbooks in Rheumatology series, written to reflect the significant advances in the field in recent years. With the recent advances in the understanding of pathogenesis, and the development of novel therapies, the Oxford Textbook of Psoriatic Arthritis provides a comprehensive overview of the disease. Each chapter is written by leading clinicians and scientists in the field of psoriatic arthritis, to provide a contemporary view of PsA, and a look into the future directions of research. Covering everything from epidemiology and diagnosis to genetics and pathology, detailed sections on treatment and outcomes provide an invaluable resource for the clinician. The book is also highly illustrated with both clinical images such as x-rays and histological photographs to aid clinical knowledge, and diagrams of the immunology and genetics that underlie the disease. Practical and all-inclusive, with summary boxes to distil the most important information, the Oxford Textbook of Psoriatic Arthritis will prove an invaluable resource for rheumatologists, dermatologists, trainees, and all members of the multidisciplinary team who are interested in recent advances in PsA.

Musculoskeletal foot pathology is endemic in patients with rheumatological conditions, with up to 90% of patients reporting current foot pain. However, foot pathology is often trivialised, despite the strong body of evidence showing foot problems are associated with reduced quality of life. The Foot and Ankle in Rheumatology is a unique, comprehensive, and detailed guide to all aspects of the management of foot and ankle pathologies in rheumatic conditions. Written by a team of leading experts, this title provides international perspectives and current state of the art information on foot and ankle pathology across a range of conditions. With over 170 colour images and photographs, practical diagnostic and management techniques are clearly explained with references to the latest guidelines. Rheumatology is a fast-evolving field, with major advances in treatment and management strategies. As the effective management of rheumatological foot and ankle disorders requires and integrated, disease-stage approach across a multidisciplinary team, the Foot and Ankle in Rheumatology has been designed to provide clear, practical, and evidence-based advice for a wide range of health professions, from podiatrists, rheumatologists, and orthopaedic surgeons to occupational therapists and physiotherapists.

Systemic Lupus Erythematosus (often abbreviated to SLE or lupus) is a systemic autoimmune disease that can affect any part of the body, causing the immune system to attack the body's cells and tissue, and resulting in inflammation and tissue damage. This new addition to the Oxford Rheumatology Library series provides a practical approach to the assessment and management of patients with this complex, multisystem autoimmune disease to improve the diagnosis and treatment of the disease and its complications. It provides comprehensive but easy to assimilate reading for consultant rheumatologists, dermatologists, nephrologists, obstetricians and other specialists and their trainees, interested GPs, specialist nurses, and clinical trial teams both in hospitals and contract research organizations.

Polymyalgia rheumatica (PMR) and giant cell arteritis (GCA) are related conditions occurring almost exclusively in older people. Polymyalgia rheumatica is considered to be the rheumatic disease that is subject to the widest variations of clinical practice, partially due to the considerable uncertainty related to diagnosis and outcomes. Giant cell arteritis, an inflammatory form of vasculitis, may present with a broad spectrum of clinical manifestations and can be complicated by acute ischemic events, the most serious of which is permanent blindness. Early recognition and adequate treatment of the condition is thus necessary to prevent patients' loss of independence and to maintain their quality of life. Part of the Oxford Rheumatology Library series, Polymyalgia Rheumatica and Giant Cell Arteritis provides quick and practically relevant information on several aspects of the diseases, particularly on diagnosis and management, with the ultimate aim of improving the patient's care. Chapters highlight current concepts of pathogenesis, recent advances of diagnostic and therapeutic approaches, and the ongoing research into the identification of new biomarkers and corticosteroid-sparing medications. Each chapter is complemented with key message boxes highlighting the most relevant information for clinical practice. This concise but comprehensive reference is particularly suited for rheumatologists, general practitioners, and other professionals caring for patients with PMR and GCA.

This innovative atlas focuses on peripheral nerves and provides a brand new approach compared to regular anatomy books. Using a modern 3D approach, it offers an alternative to conventional anatomical structures. It reviews all the anatomy and the morphology of these structures from an original point of view. In these three-dimensional diagrams, as well as in the watercolor drawings enhanced with a 3D inlay, each type of nerve is depicted in a minute detail. The atlas simplifies the anatomy and make it easy and understandable by allowing readers to develop a mental "real-time 3D GPS". The integration of MRI sections related to the drawings and the descriptions of the main nerve injuries provide medical students with a flexible but effective transition to the radiological interpretation and furthers the clinical learning process. After a detailed evaluation of the morphofunctional anatomy of the peripheral nerves, the authors present a collection of relevant data on neuromuscular transmission, both from classical and recent literature, ranging from the central and peripheral nervous system to the effector muscle. This information offers a basis for understanding the physiology, the pathology, and the repair prospects of peripheral nerves from a purely theoretical point of view.The book is divided into three main parts: - Fundamental notions: from immunohistochemistry to limb innervation- The upper limb: the brachial plexus and related peripheral nerves- The lower limb: the lumbosacral plexus and related peripheral nerves This atlas also features 261 outstanding full-colour 2D and 3D illustrations. Each picture has been designed in 2D and 3D with a combination of the original editor's personal drawings/paintings and 3D-modeling tools. This book is a valuable resource for anyone studying medicine, anaesthesiology, neurosurgery, spine surgery, pain, radiology or rheumatology and is also of high interest to the whole medical community in general.

This book details the practice of telerheumatology. Telemedicine is defined as the delivery of healthcare and the exchange of healthcare information across distances. Following, telerheumatology is the delivery of rheumatology care through telemedicine. There exists an increasing demand from patients, caregivers, and healthcare systems for access to academic specialists through telemedicine. This has been the case for the past several years and the demand has only increased with the ongoing COVID-19 pandemic. There is currently a lack of rheumatologists in rural areas and that is expected to spread to a general lack by 2025. Telerheumatology offers an excellent and timely solution to fill these gaps and provide care. Telerheumatology care has been shown to be feasible and quite effective. The current COVID-19 pandemic has thrust the concept of telemedicine into the spotlight. However, not all telerheumatology care is the same and there exists many nuances and differences when examining telerheumatology care across the United States and the world. After comprehensively reviewing the origins of telerheumatology, this work defines in detail the current practice of telerheumatology, along with the specific impact of the COVID-19 pandemic and all applications of telerheumatology. Expert authors also provide a detailed roadmap for providers to initiate, sustain, and grow a telerheumatology program. The book concludes by covering future directions of telerheumatology, including areas for expansion, improvement, and innovation. After reading this work, the editor and all the contributing authors hope that it will inspire, provoke thought and discussion, and lead to increased adaptation of providing telerheumatology care by rheumatologists and rheumatology providers.

Doctors, patients, investigators, administrators, and policymakers who assign diagnoses assume three elements: the name describes an entity with conceptual or evidentiary boundaries, the person setting the name has a high degree of certainty, and the name has a consensus definition. This book challenges this practice and offers an alternative to assigning diagnoses: quantitating diagnostic uncertainty in personal and public medical plans. This book offers the stakeholders' views participating in a workshop, sponsored by the Barbara Volcker Center/Hospital for Special Surgery, taking place in April 2020, about uncertain diagnoses. Chapters examine the circumstances in which diagnosis names are "unassignable", either because patients do not fit within diagnostic "boxes" or because health abnormalities evolve and change over time. In addition, the book deconstructs the processes of diagnosis and explores how different stakeholders used diagnosis names for various purposes. In examining pertinent questions, the book offers a roadmap to achieving consensus definitions or including measures of uncertainty in personal care, research, and policy. Diagnoses Without Names: Challenges for Medical Care, Research, and Policy is an essential resource for physicians and related professionals, residents, fellows, and graduate students in internal medicine, rheumatology, and clinical immunology as well as investigators, administrators, policymakers.

In this concise, accessible, and comprehensive reference, world experts in the field of lymphedema detail all of the non-surgical and surgical approaches to the multidisciplinary management of patients with upper and lower extremity lymphedema. There is particular focus on the surgical treatments for lymphedema, where the reader is taken step-by-step through illustrated guides for each procedure by the leading experts in the field of lymphedema microsurgery; from patient selection, preoperative evaluation, surgical technique, and postoperative management. The book is strictly organized so that readers can quickly find content and provides readers with the necessary tools and framework to readily apply these innovative and state-of-the art techniques to their patients to optimize outcomes of surgical and non-surgical treatments for their lymphedema patients. Each chapter features a standardized content layout with full-color illustrations and clinical photographs to visually represent the content and includes key tips from experts in lymphedema, accompanied by key video contributions from the authors to demonstrate the surgical techniques. There is key emphasis on advances in our understand of the etiology of lymphedema, the most important surgical topics in lymphedema microsurgery, the current evidence available for the surgical treatment of lymphedema, and recent advances in lymphedema including new pharmacological treatments that target inflammation and fibrosis Edited by leaders in lymphedema microsurgery and contributed to by a multidisciplinary group of international experts to provide a full and comprehensive guide, Multimodal Management of Upper and Lower Extremity Lymphedema is aimed at a wide target audience that includes surgeons that perform lymphedema surgeries, other medical specialties that treat patients with cancer, lymphedema therapists, physical therapists, and occupational therapists, as well as nursing specialties and trainees.

The muscular dystrophies are a group of genetic diseases that severely affect children and adults. For sufferers and their family, the illness presents enormous physical and psychological challenges. Written specifically for people with muscular dystrophy and their families, this book answers many of the questions asked about how and why muscular dystrophy occurs, and how it will affect the life of a recently diagnosed child.
As well as presenting the reader with advice and an explanation of muscular dystrophy, the book also guides the reader towards further information on societies and support groups around the world, and reliable internet resources. It also contains a full glossary to aid the reader in their understanding of the disease.
The different types of muscular dystrophy are described throughout with a minimum of technical jargon. Questions relating to exercise, physiotherapy, surgery, and the emotional effects of the diseases are answered, and advice is given on the problems of schooling and choice of career.
Since publication of the first edition in 1994, the genes for almost all the different types of dystrophy have been identified, enabling prevention through genetic counselling, therefore relieving some of the worry for affected families. Drawn from his many years of experience treating patients, Professor Emery provides authoritative, yet compassionate advice for people living with this illness.

Lupus is a disorder in which the body's immune system attacks itself, culminating in disease which can affect multiple organs, including the skin, joints, heart, lungs, kidneys, and central nervous system. Lupus currently affects about 30,000 patients in the UK, 500,000 in the United States and tens of thousands throughout Europe. Whilst there have been great advances in research into the genetic background of lupus and new interventions such as stem-cell transplants, there is still a surprising lack of information available for patients, carers and their families. Written by the former President of the British Society for Rheumatology and the current co-director of the Lupus Center of Excellence in Pittsburgh, USA, this new edition of Lupus: The Facts reflects major developments in our understanding of the causes of lupus.

Pain in later life is both quite common and disabling, and it differs significantly in terms of its aetiology, diagnosis and treatment from pain in the general adult population. Older people often have complicated co-morbidities, have a high prevalence of mental health problems (e.g. anxiety, cognitive impairment, and depression) and respond to treatment in different ways compared to younger people. Their specific needs are rarely discussed specifically in more general texts.
Part of the "Oxford Pain Management Library," this pocketbook will serve as a concise companion for healthcare professionals who manage older patients suffering with pain. Concise chapters will summarize up-to-date reserach literature in a practical style that will have direct relevance to busy clinicians. Introductory chapters will include the epidemiology of pain in older people as well as the proper assessment of older patients with pain conditions. Later chapters will focus on specific painful conditions common in the elderly, including arthritis and rheumatism, osteoporosis, abdominal pain, and cancer.
The book will appeal to a wide variety of health care professionals in both primary care and secondary care services such as geriatric medicine, rheumatology, orthopedics, surgery, pain management and palliative medicine. The book will also be of relevance to nurses, physiotherapists, occupational therapists, clinical psychologists, pharmacists and other health care providers.

The only textbook of childhood arthritis available in the world, this book employs a unique approach to the recognition and treatment of these complex and chronic conditions. First, the book is divided into three sections emphasizing the logical sequence of events that occur after the child who might have Juvenile Idiopathic Arthritis (JIA) first presents to the doctor with a musculoskeletal complaint; the reader is first taught the extensive differential diagnosis of arthritis using simple but extensive algorithms and detailed discussions of each condition; more than 200 conditions are discussed. This is followed by a discussion of all types of JIA, using a revised classification system created by the International League Against Arthritis. The introduction of the new classification system has created a need for a comprehensive guide to clarify and focus attention on childhood arthritis. Lastly, the book presents an extensive discussion of treatment of childhood arthritis using a logical but novel approach, namely, the recognition that childhood arthritis is treated differently depending on the stage of the illness, and must cover the entire spectrum of chronic illness from early, through established and finally to resistant forms of childhood arthritis. Through this textbook, the reader travels the same journey as the physician who first rules out all conditions that are not chronic childhood arthritis, and then decides which type of chronic arthritis the patient has, and lastly, implements an individualised treatment plan.