Perioperative assessment allows for proper postoperative management of complications and of the management of drugs such as disease modifying anti rheumatic drugs dmard and anti platelets and corticosteroids the assessment also supports follow up plans and patient education. The aim of this chapter is to present a simple approach to the assessment of patients with different rheumatologic diseases especially rheumatoid arthritis ra before undergoin. Perioperative management of patients with rheumatic disease fills a conspicuous gap in the literature and aims at providing a paved path for rheumatologists who infrequently manage surgical problems and medical consultants who only seldom encounter patients with rheumatic diseases to tread as they care for patients in the perioperative . The article identifies the components of perioperative medical evaluation discusses perioperative management of co morbidities and the management of specific clinical problems related to rheumatoid arthritis ra ie cervical spine disease pulmonary disease systemic lupus erythematosus sle the management of dmards like methotrexate
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