Rheumatoid Arthritis

53/M presented with c/o Painful multiple pustule lesions present in right palm since 1 week and it's initially started as a small lesion on 6 months ago. H/o unable to fold his finger because of pain and mild itching present. Diagnosis and treatment??

A 72-year-old woman with a history of hypertension and metastatic bladder cancer is referred to the hospital emergency department (ED) by her primary care provider with a complaint of 3 to 4 weeks of gradually worsening bilateral finger pain and cyanosis associated with a 15-lb weight loss. She denies any fever, cold exposure, palpitations, or other complaints. On examination, the patient is cachectic but appears well hydrated. She has normal vital signs except for her pulse, which is borderline in the 90s. Examination of her head and neck is normal, as is examination of her chest and abdomen. Her extremities have good peripheral pulses, but her fingers are cool and discolored. Initial concerns include vasculitis, ischemia, infection, emboli, or frostbite. The patient underwent testing in the ED, which revealed the following: Electrocardiography was normal without ectopy Liver function tests and basic metabolic panel were normal Complete blood count was normal except for a platelet count of 572,000/µL C-reactive protein level and erythrocyte sedimentation rate were both extremely elevated. ▪️What does the image shows? ▪️What should be your Next step?

Patient brought with c/o not able to move his neck n not able to speak since night..mouth opening was just one finger..pain on neck palpating..no history of trauma..no breathing difficulty..r/s clear n equally bl

4 year old boy with swelling in the finger and pain since 3 days. Diagnosis and management

swelling knee finger,pain can not stand RA facter positive but total test normal please advise