Rheumatology

General Primary Care

Questions discussed in this category

What is your approach to bisphosphonate use in patients with advanced chronic kidney disease and osteoporosis?

When do you prefer bariatric surgery such as sleeve gastrectomy or gastric bypass over an initial trial of a GLP-1 receptor agonist in patients with severe obesity and painful knee or hip osteoarthritis?

This question is part of our collaboration with ACR Convergence 2025 to preview a session from this year's meeting. This question is inspired by the u...

2 Answers available

What are some practical tips in distinguishing between metabolic bone disease due to chronic kidney disease and osteoporosis?

1 Answer available

How would you treat a patient with osteoarthritis of just one joint of the hand?

Would you just treat the affected joint of the entire L hand? In case of treating just the affected joint, please explain your contouring and mobiliza...

2 Answers available

Would you biopsy calcified lung nodules and or lymphadenopathy that have shown stability over a 2-year period, in a bid to rule out sarcoidosis?

1 Answer available

When discontinuing Denosumab after more than 2-3 years of therapy, when do you recommend giving the first dose of zoledronic acid?

3 Answers available

Do you have to extend treatment for acute Lyme disease if a patient is on high dose steroids for another indication?

2 Answers available

How can we approach tapering or discontinuing biologic DMARDs in patient in their 80s with well controlled rheumatoid arthritis?

3 Answers available

What is your preferred first-line treatment for chronic fatigue in patients with long COVID-19?

9 Answers available

How soon after a fracture would it be safe to start anti-resorptive therapy?

2 Answers available

How do you counsel patients with depression about the role exercise may play in alleviating depressive symptoms?

How do you educate patients about the role exercise may play in depression treatment? What type, frequency, and intensity of exercise do you recommend...

2 Answers available

Do you start bisphosphonates after tapering off menopausal hormone therapy to prevent the rapid decline of bone mineral density?

1 Answer available

How would you counsel a woman with a strong family history of thrombosis about oral contraceptives?

Would you recommend avoiding estrogen-containing OCPs? Would you test for APLS to evaluate for additional thrombotic risk factors? While not heredita...

2 Answers available

What additional workup would you perform to evaluate a new onset of spontaneous hemarthrosis?

Young adult male previously without bleeding diathesis and no family history. Platelet count, PT, and PTT are normal. Also normal factor 8, 9, 12, 7, ...

1 Answer available

Do you have safety concerns when prescribing GLP-1 medications in patients on corticosteroids or immunosuppressive therapy?

This question is part of our collaboration with ACR Convergence 2025 to preview a session from this year's meeting. This question is inspired by the u...

1 Answer available

How do you weigh the risks and benefits of GLP-1 RAs in patients over age 65 specifically in regards to loss of muscle mass and osteoporosis?

How do you counsel patients about these risks? This question is part of our collaboration with ACR Convergence 2025 to preview a session from this ye...

1 Answer available

How do you approach the treatment of patients with Ehlers-Danlos hypermobile type with chronic muscle spasms with minimal exertion?

2 Answers available

Would you consider the use of romosozumab in men who have failed therapy with teriparatide and sustained multiple vertebral fractures?

Romosozumab is not currently FDA approved for men.

1 Answer available

When stopping denosumab and transitioning to PO bisphosphonate, do you wait for 6 months after the last denosumab injection to start PO bisphosphonate?

2 Answers available

What is the next best osteoporosis treatment option for patients who completed 2 years of teriparatide, but has contraindication to bisphosphosnate therapy (e.g. history of atypical femur fracture)?

1 Answer available

Do you consider co-prescribing hormone therapy and anticoagulation in a patient with prior DVT and uncontrollable VSM uncontrolled by non-hormonal therapies?

4 Answers available

Would you use a parathyroid hormone analog for treatment of osteoporosis in a patient with mildly elevated AlkPhos of unclear etiology?

1 Answer available

Would you start romosozumab in an active smoker?

1 Answer available

During treatment of severe osteoporosis with PTH analogs (abaloparatide), would a rise in alkaline phosphatase level >200 (in the setting of normal GGT) warrant discontinuation of medication?

There is concern for elevation in alkaline phosphatase as a precursor for bone pathology, such as an increase in risk of bone malignancy, potentially ...

1 Answer available

Do you provide empiric doxycycline for Lyme Disease to asymptomatic patients after a tick bite who haven't developed Erythema migrans or are not sure it was an Ixodes tick?

2 Answers available

Is there any role for administering another course of recombinant zoster vaccine (Shingrix) in a previously vaccinated patient with RA, who is in clinical remission on JAK inhibitor but has had a breakthrough shingles infection?

The last SHINGRIX was about 4 years ago and both doses were given.

2 Answers available