Perioperative care of the patient with a multisystem inflammatory (rheumatic) disease has become increasingly complex and perioperative medicine has evolved into its own subspecialty. Physicians who have expertise in managing patients with rheumatic disease infrequently spend significant time also managing patients undergoing surgical procedures, and the reverse is equally true. Despite the burgeoning literature on the medical management of the surgical patient, scant data have been generated regarding patients with complex rheumatic disease. Perioperative Management of Patients with Rheumatic Disease fills a conspicuous gap in the literature and aims at providing a paved path for rheumatologists--who infrequently manage surgical problems--and medical consultants--who only seldom encounter patients with rheumatic diseases--to tread as they care for patients in the perioperative period. The book addresses discrete management issues from the perspective of the medical subspecialist and also offers concise descriptions of surgical procedures. Written from the surgical perspective for the internist, the surgical procedure chapters include a brief description of relative contraindications, time to recovery, rehabilitation suggestions, and comments regarding common and severe procedure specific postoperative complications.

In this issue of Rheumatic Disease Clinics, guest editor Brian F. Mandell brings his considerable expertise to the topic of Rheumatology pearls for the primary care physician. Provides in-depth reviews on the latest updates in Rheumatology pearls for the primary care physician, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.

Guest edited by Dr. Brian Mandell, this issue of Medical Clinics of North America will cover several key areas of interest related to Rheumatology. This issue is one of six selected each year by our series Consulting Editor, Dr. Jack Ende. Articles in this issue include but are not limited to: Vaccinations in Patients with Rheumatic Disease: Consider Disease and Therapy, Rheumatic Complications of Immune Checkpoint Inhibitors, Managing the Cardiovascular Risk in Patients with Rheumatic Disease, Statin associated myalgias and muscle injury - recognizing and managing both while still lowering the low-density lipoprotein, Perioperative Management of Rheumatic Disease and Therapies, Fibromyalgia: Recognition and Management in the Primary Care Office, Management and Cure of Gouty Arthritis, Update on the Treatment of Giant Cell Arteritis and Polymyalgia Rheumatica, Suspecting and Diagnosing the Patient with Spondyloarthritis and What to Expect from Therapy, Pregnancy and Management in Women with Rheumatoid Arthritis, Systemic Lupus Erythematosus and Obstetrical Antiphospholipid Syndrome, Rheumatoid Arthritis: Early Diagnosis and Treatment, Management of Knee Osteoarthritis: What Internists Need to Know, Antinuclear antibody (ANA) testing for the diagnosis of Systemic Lupus Erythematosus (SLE), and more.

This book reviews the major components of synovial fluid analysis, with an emphasis on crystal recognition. Synovial fluid analysis is the required gold standard test for the definitive diagnosis of septic and crystal induced arthritis, the most frequent causes of acute inflammatory arthritis. Synovial fluid is obtained routinely from patients with acute arthritis by clinicians in many specialties. Fluids are sent to the clinical pathology and microbiology laboratories for analysis, but are also frequently examined directly by rheumatologists and others for the presence of crystals. Competency in synovial fluid crystal analysis is a requirement for all graduating rheumatology fellows in the United States, and is an expectation for musculoskeletal disease physicians internationally - although competency is assumed with a variable degree of rigor. This book comprehensively provides practical knowledge presented by skilled and experienced clinicians and pathologists, fulfilling an educational niche for teaching programs and a reference need for academic and community hospital clinical pathology laboratories. This is an ideal introductory guide for rheumatology trainees, as well as a reference text for rheumatologists, infectious disease consultants, orthopedists, cytotechnologists, and advanced nurse practitioners.