The rheumatological history

ABSTRACT

Rheumatology encompasses conditions affecting multiple body systems and requires a wide-lens approach to history-taking. The diagnostic challenge of rheumatological disease is best considered through a thorough multisystem history to elicit past and present symptomatology. The pattern of affected body systems, combined with more specific questioning to illustrate associated features, can then be used to formulate a diagnosis and exclude other differentials. This article provides a systematic approach to the rheumatological history and guidance on seeking out relevant clues to help make the diagnosis.