For Doctors and other health professionals

Clues on referral, journal and medical investigation.

• Communicate Why the diagnoses is suspected by using keywords for the current diagnosis (please see below)
  
• Distinguish between symptoms and findings in the medical examinations
• Has legitimate suspicion of potentially serious illness (see “Right to health care")?

Referral to rheumatologist

• Referral at Antifosfolipid Syndrome (ApLs)
• Referral at Antisynthetase syndrome
• Referral at Behcet's disease (Vaskulitt.no)
• Referral at Ankylosing spondylitis
• Referral at Churg-Strauss / EGPA (Vaskulitt.no)
• Referral at (Dermato) Myositis
• Referral at Fibromyalgia
• Referral at Microscopic Polyangiitis (MPA) (Vaskulitt.no)
• Referral at Polyarteritis nodosa (PAN) (Vaskulitt.no)
• The refferal at Polymyalgia rheumatica (PMR) (Vaskulitt.no)
• Referral at Sarcoidosis
• Referral at Sjögren's disease
• Referral at Systemic lupus (SLE)
• The refferal at Rheumatoid arthritis (RA)
• Medical examination of Raynaud's phenomenon
• Referral at Systemic sclerosis (scleroderma)
• The refferal at Takayasu arteritis (Vaskulitt.no)
• The refferal at Temporalis arteritis (Vaskulitt.no)
• The refferal at Wegener's / GPA (Vaskulitt.no)

Functional distribution in Oslo

• In Oslo there is a distribution of functions between the Rheumatological Department OUS, National Hospital og Diakonhjemmet hospital
  • Patients with Systemic inflammatory connective tissue disease or Vasculitis shall be referred to OUS, Rikshospitalet
  • Arthritis, spondyloarthropathies (Inflammatory joint and spinal disease) and Osteoarthrtitis shall be referred to the Diakonhjemmet sykehus
• Children (<18 years) with inflammatory joint or spinal disease Shall be referred to OUS, Rikshospitalet, Barnerevmatologisk section.

Norwegian Directorate of Health (Supervisor for referrals)

• Link to the referral supervisor is here

Medical investigation (checklists / keywords)

• Antisynthetase syndrome
• Bechet's disease (Vaskulitt.no)
• Ankylosing spondylitis (Bechterews)
• EGPA / Churg-Strauss (Vaskulitt.no)
• Fibromyalgia
• GPA / Wegener's (Vaskulitt.no)
• MCTD (Mixed Connective Tissue Disease)
• MPA (Microscopic Polyangiitis)
• Myositis
• PAN (Polyarteritis nodosa)
• Polymyalgia rheumatica (PMR)
• Rheumatoid arthritis
• Sarcoidosis
• Sjögren's syndrome
• SLE (Systemic Lupus)
• Systemic sclerosis
• Takayasu arteritis (Vaskulitt.no)
• Temporalis arteritis (giant cell arteritis) (Vaskulitt.no)
• Wegeners / GPA

Key words for medical journal writing

• Antisynthetase syndrome
• Behcets disease (Vaskulitt.no)
• Ankylosing spondylitis
• EGPA (Churg-Strauss vasculitis)
• Fibromyalgia
• GPA (Wegener's granulomatosis) (Vaskulitt.no)
• MCTD
• MPA (Microscopic Polyangiitis)
• Myositis
• PAN (Polyarteritis Nodosa) (Vaskulitt.no)
• PMR (Polymyalgia rheumatica (Vaskulitt.no)
• Rheumatoid arthritis (RA)
• Sjögren's syndrome
• SLE (Systemic Lupus)
• Systemic sclerosis
• Takayasu arteritis (Vaskulitt.no)
• Temporalis arteritis (giant cell arteritis) (Vaskulitt.no)
• Wegeners / GPA

• "Differential diagnosis"And"Classification criteria"Is listed on the pages for these states

• Diagnose Codes (ICD-10)

• Vasculitis diseases and related conditions are described on VASKULITT.no.
• Connective tissue disease and similar conditions are described on Bindevevssykdommer.no

Rheumatology Department, OUS, Rikshospitalet uses more specialized investigation procedures and advanced treatment guidelines. This is because particularly complicated cases are often treated there, and the treatment must be adapted to each individual case.

Rheumatology Department at Oslo University Hospital, Rikshospitalet has special expertise in systemic connective tissue disease and vasculitis and is the country's largest department for these conditions. The department receives primarily patients from Oslo and from the rest of the Health South-East region. Patients referred from other regions are considered by referral via local hospital department and can be received as far as the capacity allows.

• Bindevevssykdommer.no
• Vaskulitt.no