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.
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
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.
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
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