Decision Making in Rheumatology for DM/DrNB Postgraduates & Rheumatology Fellows | Case-Based Clinical Reasoning, Diagnostic Algorithms and Decision Pathways for Practicing Rheumatologists: 1

Decision Making in Rheumatology is a case-based clinical resource built around the real-world scenarios rheumatologists, internists and physicians encounter every day, from an acutely swollen joint to a patient with overlapping autoimmune disease. Rather than cataloguing diseases and drugs in isolation, it walks through the reasoning process itself: why a diagnosis is reached, which investigations genuinely change management, and how therapy is selected, sequenced, switched or stopped. Structured across 21 chapters authored by a national panel of rheumatologists, clinical immunologists and allied specialists from leading Indian academic institutions, the book moves from the fundamentals of clinical evaluation and laboratory and radiological workup through spondyloarthritis, myositis, systemic sclerosis, Sjögren's disease, lupus, vasculitis and IgG4-related disease, to practical crossroads such as distinguishing disease flare from infection and interpreting genetic testing in rheumatology practice. Who This Book Is For: Postgraduate trainees and DM/DrNB fellows in Rheumatology and Clinical Immunology and Rheumatology, building a structured framework for clinical reasoning during training. Practicing rheumatologists and internists who need a rapid, decision-oriented companion for everyday diagnostic and treatment dilemmas. Why This Book Helps: Turns complex rheumatologic presentations into structured decision pathways, moving from clinical pattern to targeted investigation instead of reflex test-ordering. Distinguishes true articular from periarticular pain and acute from chronic polyarthritis, guiding rapid, systematic bedside evaluation. Frames vasculitis, myositis and connective tissue disease chapters around real diagnostic dilemmas, including separating disease flare from infection. Extends beyond disease-specific diagnosis into the practical crossroads rheumatologists face daily, including when to initiate, switch or discontinue therapy. Brings a dedicated chapter on offering and interpreting genetic tests in rheumatology, addressing a fast-evolving area most reference texts leave out. Key Features: 21 chapters spanning the full spectrum of rheumatologic disorders, from monoarthritis and polyarthritis to vasculitis, myositis, systemic sclerosis, Sjögren's disease, IgG4-related disease and connective tissue disease-associated interstitial lung disease. Comparative reference tables mapping causes, joint-pattern characteristics, extra-articular manifestations and synovial fluid findings across major arthritides. Real-world case studies with learning points woven through the text, alongside decision pathways and key-points summary boxes for rapid revision. Clinical photographs, radiographs and diagnostic algorithms illustrating classic presentations and imaging findings. Authored by a multi-institutional panel of rheumatologists and clinical immunologists from AIIMS New Delhi, PGIMER Chandigarh, SGPGI Lucknow, SMS Jaipur, Sir Ganga Ram Hospital and other leading centres.

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