类风湿退行性病变的患者一天得有八百个，交完飞行员开飞机，交大夫看病？你要说类风湿退行性病变你能，你去申请诺贝尔奖吧

好不规范，山农大真是垃圾～

你拿的是内科书自己都没注意吗？书里是指类风湿的关节退行性病变，就是所谓的大骨节，和你机器治的是两个病

最后提醒你你一下，你拿的是内科书，骨关节是内科？

打西边来了个小吧主，自称开飞机的

你把类风湿退行性病变和退行性关节炎最好分开，想做理疗仪器，多看看骨科的书，看内科书没啥用，那病你治不了。

风湿免疫科是新开展的科室，出现时间并不长，之前一直混在骨科，或者综合内科，但是这不影响，风湿类风湿，系统性红斑狼疮是内科病，退行性关节炎是外科病，某位神医别挑战类风湿退行性病变，你那机器要说能治这个，你不蹲大狱，也得倾家荡产

地鬼你家里有爷爷奶奶辈吗。。
所谓”退行性病变“，说通俗点就是人体这个机器老化了（最普遍的原因是长期劳动磨损和年龄增长）
而风湿性疾病/风湿性关节炎（这俩词也不一样，不过这里不谈）——这里的风湿性，指的是病因，或者说发病机理是风湿性的
我举个最极端的例子你就能理解了，获得性免疫缺失综合征（艾滋病），它有可能产生神经系统病变（所以说知道病变这词的含义了吗？）——比如脑膜炎、脑神经炎，
但是脑膜炎、脑神经炎，属于免疫缺失吗？
同理，风湿性疾病，是有可能产生退行性病变，
但你说的退行性病变属于风湿性吗？

来看上帝哎，就这还装大夫呢！

第八版内科学目录如下

这些内容涉及到呼吸科、消化科、泌尿科、心内科、血液科、内分泌科、神经科、小儿科、感染科、骨科、妇科等等等等。
因为其中风湿性疾病骨关节炎的章节中，出现了如下内容

天了噜！这不是外科的事吗？
果然野鸡书无误！
啊，不对，按某号称是医院大夫的人说，这2013才第一次出的内科学第八版是旧的分类，现在不用这套啦！
现在用什么呢？
按他说你看医院科室就对啦！
好吧～
就不说放射科了，也不说门诊科室和住院部科室不一样了，现在一堆医院设了重症科……
居然没有一本教材叫《重症科》的！
甚至出现这么久的《放射科》教材也没有啊！
天啦，医学院教育完蛋啦！

类风湿退行性病变，不是退行性关节炎，这是两种病，甚至是两类病，没法和你说，后者你的机器可以试一试，前者的话，你别作死冒那风险，这是好话

别去吵吵自己能治类风湿退行性病变，这是绝对的好话，懂的不会买你东西，不懂的用完了绝对告你，这个病，全国没几个医院能治，能达到康复级，基本上就诺贝尔奖不远了

打一个你，删一个

这是类风湿退行性病变你确定和你说的是一回事？越重越好，这个你能治吗？

类风湿退行性病变，你确定你的机器能治？

rheumatic disease和hematology一样从来都不是以病因归类的疾病，是按发病部位归类的
Rheumatic fever (RF) is an inflammatory disease that can involve the 【heart, joints, skin, and brain】.[1] The disease typically develops two to four weeks after a streptococcal throat infection.[2] Signs and symptoms include fever, multiple painful joints, involuntary muscle movements, and occasionally a characteristic non-itchy rash known as erythema marginatum.[1] The heart is involved in about half of the cases.[1] Damage to the heart valves, known as rheumatic heart disease (RHD), usually occurs after repeated attacks but can sometimes occur after one.[1] The damaged valves may result in heart failure, atrial fibrillation and infection of the valves.[1]
Rheumatic fever may occur following an infection of the throat by the bacterium Streptococcus pyogenes.[1] If the infection is untreated rheumatic fever can occur in up to three percent of people.[6] 【The underlying mechanism is believed to involve the production of antibodies against a person's own tissues】.[1] Due to their genetics, some people are more likely to get the disease when exposed to the bacteria than others.[1] Other risk factors include malnutrition and poverty.[1] Diagnosis of RF is often based on the presence of signs and symptoms in combination with evidence of a recent streptococcal infection.[3]
Rheumatic fever is a systemic disease affecting the connective tissue around arterioles, and can occur after an untreated strep throat infection, specifically due to group A streptococcus (GAS), Streptococcus pyogenes. 【It is believed to be caused by antibody cross-reactivity】. This cross-reactivity is a type II hypersensitivity reaction and is termed molecular mimicry. Usually, self reactive B cells remain anergic in the periphery without T cell co-stimulation. During a streptococcal infection, mature antigen-presenting cells such as B cells present the bacterial antigen to CD4+T cells which differentiate into helper T2 cells. Helper T2 cells subsequently activate the B cells to become plasma cells and induce the production of antibodies against the cell wall of Streptococcus. However the antibodies may also react against the myocardium and joints,[12] producing the symptoms of rheumatic fever. S. pyogenes is a species of aerobic, cocci, gram-positive bacteria that are non-motile, non-spore forming, and forms chains and large colonies.[13]
需要我翻译吗？三个【】，第一个是发病部位，后两个是发病机理或者说病因
你自己翻译看看是按照发病部位分类的么。。。