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40 year old female with joint pains since 4 months

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 CHIEF COMPLAINT  A 42 year old female came with chief complaint of severe joint pains since 4 months  HISTORY Of PAST ILLNESS  Joint pains in knees and ankle since 4 years  HISTORY Of PRESENT ILLNESS  Severe joint pains in shoulders , elbow joints,fingers,knee joints. Patient with severe joint pains visited hospital and after examination and after performing various tests , she was diagnosed with Rheumatoid arthritis. She discontinued medication  She started taking homeopathy GENERAL EXAMINATION Joints : no swelling  FAMILY HISTORY Significant DIAGNOSIS : RHEUMATOID ARTHRITIS