Medical history (history of illness) represents an important component in the diagnosis of arthralgia (joint pain).
Family history
- What is the general health of your relatives?
- Are there any diseases of the bones/joints in your family that are common?
Social history
- What is your profession?
- Do you work physically hard in your profession?
Current medical history/systemic history (somatic and psychological complaints).
- Do you have joint pain? If yes, did the pain occur after a minor fall or did the pain occur spontaneously?
- How long has the pain been present?
- At which joint(s) do you have your pain?
- Do you have start-up pain: start-up pain is expressed when a joint begins to be active.
- Do you have a night pain or pain at rest?
- Do you have a strain pain?
- Is the joint(s) swollen/heated?
- On a scale of 1 to 10, where 1 is very mild and 10 is very severe, how severe is the pain?
- Are there any functional limitations of the joint(s)?
- Have you noticed any other symptoms such as fever or fatigue?
Vegetative anamnesis incl. nutritional anamnesis.
- Do you exercise regularly every day?
- Do you smoke? If yes, how many cigarettes, cigars or pipes per day?
- Do you drink alcohol? If yes, what drink(s) and how many glasses of it per day?
- Do you use drugs? If yes, what drugs and how often per day or per week?
Self history incl. medication history.
- Pre-existing conditions (diseases of bones / joints, injuries, infectious diseases).
- Operations
- Allergies
Medication history
- Α4β7-integrin antagonist (vedolizumab).
- Antimony preparations
- Chelating agents (deferasirox, deferoxamine)
- Fluorides (fluorine)
- Hormones
- Aromatase inhibitors (anastrozole, letrozole, testolactone).
- Glucocorticoids
- GNRH analogues (leuprorelin
- LHRH agonists (goserelin)
- Parathyroid hormone analogue (teriparatide)
- STH (synonyms: somatotropic hormone (STH), somatotropin; e.g., growth hormone replacement therapy).
- Hydralazine (vasodilator).
- Interferon (alpha interferon)
- Isoniazid (antibiotic from the group of tuberculostatics).
- Monoclonal antibodies (trastuzumab).
- MTOR inhibitors (everolimus, temsirolimus).
- Opioid receptor antagonists (naltrexone).
- Proton pump inhibitors (proton pump inhibitors, PPI; acid blockers) – esomeprazole, lansoprazole, omeprazole, pantoprazole, rabeprazole.
- Retinoids – for therapy in psoriasis (psoriasis).
- Cytostatics
- Alkylants (temozolomide)
- Antimetabolites (methotrexate (MTX))