40 year old female with joint pains since 4 months









 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






Comments

Post a Comment

Popular posts from this blog

general medicine final practical exam-short case

Image
65Y/M PATIENT WITH COMPLAINT OF SOB AND DISTENSION OF ABDOMIN AND PEDAL EDEMA This is an online e-log platform to discuss case scenario of a patient with their guardians permission.  I have been given this case to solve in an attempt to understand the topic of patient clinical data analysis to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan.  CHIEF COMPLAINT: A 65 years old male patient ,resident of suryapet ,mason by occupation,came to the casualty with chief complaint of shortness of breath since 5 days Distension of abdomen and pedal edema since 1 week. HISTORY OF PRESENT ILLNESS: ->patient was apparently asymptomatic 1year back then she has  shortness of breath, pedal edema, distension of abdomen.She went to a local hospital and was diagnosed with renal failure and heart failure. 7 months back  patient had similar episodes and had Hb of 6 approx and 20 prbc and t
Read more

A 65 year old patient with fever since 10 days

Image
 This is an E log book to discuss our patient's de-identified health data shared after taking his guardian sign informed consent.Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problem with collective current best evidence based inputs.This E-log book also reflect my patient centered online learning portfolio. A 65 year old male came to OPD with the chief complaint of fever since 10 days. Cough with sputum since 1 week. Burning micturition since 3 days. Decreased appetite since 10 days. HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 10 days back then he developed fever which was of high grade and relieved on medication and it was also associated with cough and sputum since 1 week. He developed burning micturition since 3 days and decreased appetite since 10 days. HISTORY OF PAST ILLNESS Not a known case of diabetes mellitus,TB, asthma, hyperte
Read more

A 19 yr old male with fever and bodypains

Image
 This is an E log book to discuss our patient's de-identified health data shared after taking his guardian sign informed consent. Here we discuss our patient's clinical problems through series of inputs from available global online community of experts with an aim to solve the problem with collective current best evidence based inputs. This E log also reflect my patient centered online learning portfolio and your valuable inputs on comment box. A 19 year old male patient came to OPD with the chief complaint of fever since 1 week. HOPI  Patient was apparently asymptomatic 1 week back then he developed fever with chills which is high grade , sudden in onset and associated with bodypains. Relieved on medication. 2 days back he was taken to outside hospital, there his platelet count was 129000 cells/mm3, yesterday count was 132000 cells/cumm and today count is 98000cells/cumm. No h/o loose stools, vomitings No h/o hematuria, dark stools  No h/o pain abdomen, giddiness  PAST HISTORY
Read more