A 38yrs/f suffering from joints pain(big) with puffy face and pedal oedema since 2 months. Pt is obese and hypertensive(on telmisartan+amlodipine) since last 10 yrs. Increased frequency of micturition with lower abd pain since 6 month. Non diabetic. Usg w/a reveals thickening of uterine endometrium and gr | fatty liver. Urine exam- WNL. Plz suggest treatment acordingly.

2 Likes

LikeAnswersShare

amlodipine induced pedal edema .plz switch over to other agents gradually. big joint pain may b due to gouty arthritis.-investigate accordingly. plz advice a C/S test for urine sample

Anti CCP is negative so ruled out RA. Low level of T3 is suggestive of hypothyroidism. Start with Levothyroxine 25mcg . Repeat thyroid function tests after 1 months Piroxicam or meloxicam or tramadol can be given as pain killer.

Thank u
0

Osteoarthritis, amlodipene induced oedema, UTI and obesity are the cause of his present complaint. Rx 1 Life style modification to control her wt. 2 gradual exercises for joints. 3 Stop CCB amlodipene. You can add diuretic or cilnidipin. 4 urine culture and AST. Antibiotic according to culture report. 5 NASID for pain relief.

Thank u sir
0

Plz do sr uric acid. That pedal edema due to ling term intake if AMLODIPINE . . Discontinued AMLODIPINE. . Treat accordingly sr uric acid .

Sr uric acid - 4.16
0

View 4 other replies

Inferior wall ischaemia with sinus tachycardia, advised renal function tests.

First of all you Advice CBC,RFT, WITH S.URIC ACID.and repeat usg whole abdomen and electrolyte. Then start treatment.

Esr - 38, hb -13, sr uric acid- 4.16
0

Stop Amlo C & S urine Do Echo to ruled out pumping capacity Add Dieuretic Do S . protein & stop steriod if any

Ecg show Little st depression in lead 3, avf Non Nonspecific

Hypothyroidism + fatty liver +uti start with Thyronorm50 microgm then adjust dose. Antibiotics Vitamins and micronutrients. Inj vit D calcium

Thank u
0

View 1 other reply

Pedal oedema due to Amlodipine discontinue it Go for CBC RFT Lipid profile Uric acid RA factor ANA till that start CTD 12.5 Ramipril 5mg

Load more answers

Cases that would interest you