66 y/o female with the following changes on the hands present for past 5 years. Also has left hip pain, low back pain, and feels stiffness and pain in the hands. How will you diagnose this case?

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Heberden's nodes - distal interphalangeal joint swelling Bouchards nodes - proximal interphalangeal joint swelling Left hip and lower back ache These are suggestive of osteoarthritis

History of stiffness Pain in joints Old age Deformity in pip joints Heberdens nodes All are suggestive of CHR OA D/D RA

Thanx dr Ashok Leel
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Osteo Artheritus changes due to Avitaminosis/ Calcium and D3 Defficiate.../ Aging changes. Omega fatty acid 3/6/9..advised.

Rheumatoid arthritis dd gouty arthritis see phalanx confirm hla 27 serum uricacid anti ccp ra titre BMD osteoporosis Ankylosing spondlytis ra gout

* CROOKED FINGER APPEARANCE.. * NODULAR GROWTHS AT DISTAL INTERPHALANGEAL JOINTS.. HEBERDEN NODULES.. ? OA..

Tnx Dr Ashok Leel sir
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COULD BE KIND OF RHUMATIOD ARTHRITIS DO BLOOD FOR RHUMATIOD FACTOR CRESCENT PROTENS E S R A N A ANTINUCLEAR ANTIBODIES OPHTGALMIC EXAMINATIONS TO EXCLUDE ANY OCCULAR MANEFEDTATIONS OF R ARTHRITIS

Case of Osteoarthritis of multiple joints. Heberden Nodules in hands interphalangeal joints.

Thanks Dr Pushkar Bhomia
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Pain in bilateral hand joint with stiffness with deformity suggestive of RA ...need proper history with some investigation like RA ,anti CCP .esr crp .x joint....

It's swan sign,most likely RA,go for uric acid level,RA level,xray both hand,till then give nsaids

Rheumatoid Arthritis. ? Sodhana chikitsa followed by Samana chikitsa.

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