Phys Clinical Cases · rheumatological
SJ Gren S Syndrome AND Inflammatory Myopathies — DCE Clinical Case
DCE long-case and short-case station for SJ Gren S Syndrome AND Inflammatory Myopathies.
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SJ Gren S Syndrome AND Inflammatory Myopathies — Clinical Case
DCE Long Case
Patient brief
Patient: A middle-aged or older adult with multimorbidity and a presentation centred on SJ Gren S Syndrome AND Inflammatory Myopathies. [1]
Presenting complaint: Subacute or acute symptoms referable to SJ Gren S Syndrome AND Inflammatory Myopathies, with enough detail to force prioritisation. [1] [2]
Past history: Common cardiometabolic and organ comorbidities that interact with the plan. [2]
Medications: A polypharmacy list that includes at least one interaction or dosing issue. [2]
Examination: Key positives and critical negatives for dangerous differentials. [1]
Investigations: A small set of results that change management. [1] [2]
Tasks
- Present a prioritised problem list. [1]
- Defend investigations and immediate therapy. [1] [2]
- Provide safety-net and follow-up advice. [2]
Model discussion points
- Working diagnosis and acuity. [1]
- Differentials and discriminators. [2]
- Treatment sequence and monitoring. [1] [2] [3]
- Multimorbidity and communication. [2]
Short case
Focused examination or counselling station linked to SJ Gren S Syndrome AND Inflammatory Myopathies, with one interpretation task and one shared-decision point. [1] [2]
References
- [1]Xi Y, Yao T, Zhang C, Zhuang T Effectiveness of safety care and clinical nursing pathway in patients undergoing cardiovascular intervention: a randomized controlled trial Perioper Med (Lond), 2026.PMID 42469924
- [2]Marks FJ, Walters SJ, Sutton L, Jacques RM What statistical methods are more appropriate for predicting recruitment at the design stage of a randomised controlled trial? Trials, 2026.PMID 42469922
- [3]Hajiaqaei M, Mohammadi A Transcranial random noise stimulation (tRNS) over the left dorsolateral prefrontal cortex ameliorates emotion dysregulation and executive function: a single-blind, randomized, sham-controlled clinical trial BMC Psychol, 2026.PMID 42469906
- [4]Buonocore TM, Marino S, Albi G, Sakellariou G, et al. Ontology-Enriched Guidelines Retrieval for Complex Rheumatological Cases Stud Health Technol Inform, 2026.PMID 42175019
- [5]Talerico R, de Wit K, Barco S, Bonorino J, et al. Evidence-based risk stratification of patients with acute pulmonary embolism: communication from the ISTH SSC Subcommittee on Predictive and Diagnostic Variables in Thrombotic Disease J Thromb Haemost, 2026.PMID 41354154
- [6]Assmann G, Klemm PCM, Hedrich C, Girschick H, et al. [Diagnosis and treatment of chronic nonbacterial osteitis (CNO) and SAPHO syndrome : Implications of the current consensus recommendations of an international commission of experts for German rheumatology] Z Rheumatol, 2026.PMID 41313366
- [7]Crotti C, Ughi N, Scirè CA, Luppi F, et al. The Italian Society for Rheumatology guidelines for the treatment of patients with rheumatoid arthritis and interstitial lung disease Reumatismo, 2026.PMID 41247141
- [8]Alexander T, Roldan E, Del Papa N, Farge D, et al. Autologous haematopoietic stem cell transplantation for rheumatic diseases: best practice recommendations from the EBMT Practice Harmonization and Guidelines Committee Bone Marrow Transplant, 2025.PMID 40830237