A 28 years old male pt. Complain of joints pain ,tingling and weakness

Joints pain and muscles ache and weakness Chief Complaints Joints pain, fingers pain and ankle pain and muscles ache and tingling sensation....for 3 months not associated with fever and vomiting History No any family Vitals All normal Physical Examination Swelling on neck Investigations RA factor :1.2 Diagnosis Need any other investigation for diagnosis??? What could be the d/dx,Dx?? Is a case of HIV infection?????? Management ???

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Should be screened with detailed investigations like - FBS, Urea, Creatinine, Urinalysis, LFT, ESR, CRP, ASO, ANA, Electrophoresis, HIV, HBsAg, HCV, Digital X-ray of hands with wrist joints, FNAC of neck swelling Then only final diagnosis & plan of management can be given. Till then symptomatic management with Methylcobalamin +Pregabalin for neuropathy and Etoricoxib for ପାଇଁ management.

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Needs more investigations.. **Specific Nuclear Antigen. ** S.Uric acid. **Electrophoresis.. Needs consultation with investigations of Nuclear medicine Deptt.

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Pt should referred to near by hospital for detail evaluation Hb 17 with high PCV and Lymphnodes in neck !!! High probability of hematological malignancy Although with available details it is difficult to say as of now!

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? ARTHROPATHY.. ASSOCIATED COMPLICATIONS.. ? OA .. ? RA ..

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My colleague suspected Rheumatoid arthritis but still don't know the causes ..can hepatitis b and c lead muscles pain and tingling ????

रास्नादि गुगल, महायोगराज गुग्गलु,वातगजांकुश रस, आमवातारि रस,अभ्रक भस्म, गिलोय सत्व, महारास्नादि क्वाथ, नारायण तैल पत्र पिण्ड स्वेदन कर्म

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