Concluded Case

Rheumatoid arthritis

40yrs old female presented with pain in both the wrist from last 3 months with morning stiffness of hands. There is also associated knee pain. She was tested and her blood reports are as shown.

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Concluded answer

Rheumatoid arthritis with RA factor positivity Adv Tablet Hydroxy chloroquine 200 mg once daily It takes 3 - 4 months time for HCQ to act , till then NSAIDS can be given for pain management Check QT interval before starting HCQ Periodic eye examination of also necessary for those on HCQ

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Inflammatory connective tissue disorder. Corticosteroid ..& HCQ. Withdrawal gradually corticosteroid, continue HCQ for 4-6 months provided ECG tracings/ QT interwal permits. Tricolchicoside 4 mg + Aceclophen 100 mg for inflammatory pain. PHYSIO EXERCISE.

Thank you doctor
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Rheumatoid arthritis with RA factor positivity Adv Tablet Hydroxy chloroquine 200 mg once daily It takes 3 - 4 months time for HCQ to act , till then NSAIDS can be given for pain management Check QT interval before starting HCQ Periodic eye examination of also necessary for those on HCQ

H/O .. WRIST JOINTS AND KNEE JOINTS.. PAIN .. WITH.. RA.. FACTOR POSITIVE.. ? POLYARTHROPATHY.. ? RA .. ANALGESICS ANTIINFLAMMATORY AS PER REQUIREMENT..

RA factor positive Crp high Bilaterally symmetrical polyarthritis Consider inflammatory arthritis DMARD in consultation with rheumatologist

Carpal tunnel syndrome

RHEUMATOID ARTHRITIS T/T MTX + INFLIXIMAB OR TOCILIZUMAB

I agree with Dr Jayesh Kalbhande.

Rheumatoid arthritis