This evidence-based handbook demystifies a systemic, autoimmune synovial disorder from presentation to long-term control, blending clinical science with lived experience and practical tools. You'll learn how to recognize symmetric small-joint patterns, interpret RF and anti-CCP, use ultrasound and X-ray judiciously, and apply treat-to-target principles (remission or low disease activity) with csDMARDs (methotrexate first-line), bDMARDs, and tsDMARDswhile minimizing glucocorticoids. Along the way, you'll see how personalized plans intersect with exercise therapy, pain science, vaccination timing, pregnancy planning, and cardiovascular risk reduction. In a recurring vignette, "Maya, 32," navigates morning stiffness, starts methotrexate with folate, weighs a TNF inhibitor, and learns flare-rescue strategiesillustrating choices you'll make in clinic or at home. Clear checklists, flowcharts, and monitoring tables keep you safe and precise, whether you're a trainee, allied professional, or an informed patient partner.
✓ Step-by-step diagnostic pathways, including differential diagnoses and when to order serology/imaging ✓ Treat-to-target algorithms covering csDMARD → biologic/targeted switches, tapering, and safety labs ✓ Practical therapeutics: dosing pearls, contraindications (e.g., pregnancy), vaccination timing, infection risk ✓ Rehabilitation toolkit: joint-friendly strength, aerobic plans, hand exercises, splints, and fatigue pacing ✓ Comorbidity management: pain mechanisms, osteoporosis prevention, mental health, and CV risk reduction ✓ Ready-to-use tools: flare plans, shared-decision scripts, clinic note templates, and patient education sheets
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