Gastric Bypass Rheumatoid Arthritis | Medical Algorithm

Are you evaluating a patient who has undergone a jejunocolic or jejunoileal intestinal bypass procedure?

Yes

Since the operation has the patient developed?

• polyarthritis involving small and large joints?

Yes

• cutaneous vasculitis?

Yes

• circulating immune complexes?

Yes

Has oral antibiotic therapy resulted in clinical improvement?

Yes

Is there another diagnosis that can explain the findings better?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of clinical findings of intestinal bypass arthritis present

Number of findings suggesting another diagnosis

Should the diagnosis of intestinal bypass arthritis be considered in this patient?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Imaging Studies
- Differential Diagnosis of Recurrent or Relapsing Arthritis
- Celiac Disease Arthropathy (Arthritis of Celiac Disease)
Laboratory Tests
Other Testing
- Celiac Disease Arthropathy (Arthritis of Celiac Disease)
Criteria For Diagnosis
Severity, Prognosis, Stage
- Synovialitis Score of Krenn et al for Grading Histologic Features of Chronic Synovitis
- Palindromic Rheumatism | Risk Factors for Development of Connective Tissue Disorder
Differential Diagnosis And Mimics, Red Flags
- Steroid Pseudorheumatism (Arthralgias and Myalgias Associated with Steroid Withdrawal)
- Differential Diagnosis of Recurrent or Relapsing Arthritis
Failure Handling, When To Refer
- Chronic Arthropathy | Tool for Identifying Pediatric Patients

Therapy

Diet
- Food Induced Allergic Arthritis
Prevention
- Arthritis | Model for Early Prediction of Outcome
- Food Induced Allergic Arthritis

Monitoring

Response To Therapy
Adverse Effects
- Steroid Pseudorheumatism (Arthralgias and Myalgias Associated with Steroid Withdrawal)
Disease Progression
- Palindromic Rheumatism | Risk Factors for Development of Connective Tissue Disorder
Complication Detection
- Steroid Pseudorheumatism (Arthralgias and Myalgias Associated with Steroid Withdrawal)
Comorbid Conditions
- Relapsing Seronegative Symmetric Synovitis with Pitting Edema (RS3PE)
- Celiac Disease Arthropathy (Arthritis of Celiac Disease)

Patient Concerns

Quality Of Life
- Dialysis Related Amyloid Arthropathy
- Early Persistent Inflammatory Synovitis Assessment (EPISA) Score

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10

Arthritis Associated with Intestinal Bypass for Morbid Obesity (Intestinal Bypass Arthritis)

Purpose: To evaluate a patient for clinical features of intestinal bypass arthritis.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10