Phys Clinical Cases · general-medicine
Rheumatological Examination Spine AND Lower Limbs — DCE Clinical Case
DCE long-case and short-case station for Rheumatological Examination Spine AND Lower Limbs.
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Target exams
Rheumatological Examination Spine AND Lower Limbs — Clinical Case
DCE Long Case
Patient brief
Patient: A middle-aged or older adult with multimorbidity and a presentation centred on Rheumatological Examination Spine AND Lower Limbs. [2]
Presenting complaint: Subacute or acute symptoms referable to Rheumatological Examination Spine AND Lower Limbs, with enough detail to force prioritisation. [3]
Past history: Common cardiometabolic and organ comorbidities that interact with the plan. [4]
Medications: A polypharmacy list that includes at least one interaction or dosing issue. [5]
Examination: Key positives and critical negatives for dangerous differentials. [1]
Investigations: A small set of results that change management. [2]
Tasks
- Present a prioritised problem list. [3]
- Defend investigations and immediate therapy. [4]
- Provide safety-net and follow-up advice. [5]
Model discussion points
- Working diagnosis and acuity. [1]
- Differentials and discriminators. [2]
- Treatment sequence and monitoring. [3]
- Multimorbidity and communication. [4]
References5ShowHide
- [1]Kalish RA, Wohlgethan JR, Liu N, et al. Promoting the utilization of rheumatologic musculoskeletal anatomy: a 50-year travel log Clin Rheumatol, 2026.PMID 42334785
- [2]Perrot S, Laroche F, Poncet C, et al. Are joint and soft tissue injections painful? Results of a national French cross-sectional study of procedural pain in rheumatological practice BMC Musculoskelet Disord, 2010.PMID 20100351
- [3]Venyte R, Schuster-Amft C, Behrendt F, et al. [Long-standing myalgia and hypouricemia in a young woman : Case report and review of the literature] Z Rheumatol, 2025.PMID 40810925
- [4]Sukharomana M, Charuvanij S Implementation and assessment of a structured curriculum for a 4-week pediatric rheumatology rotation for pediatric residents BMC Med Educ, 2024.PMID 38263148
- [5]Yamamuro K, Ide K, Arai Y, et al. Association Between Participant Satisfaction and Self-Reported Clinical Practice Behaviors in a Nationwide Guideline Education Program Neuropsychopharmacol Rep, 2026.PMID 42448624