Concluded Case

ORTHOPEDIC

AGE 64M C/O PAIN THIRD METACARPOPHALANGEAL JOINT WITH SWELLING. PAIN AGGRAVATES WITH MOVEMENTS. ATTACHED IS THE X RAY SCAN. PLEASE COMMENT ANY FINDINGS AND FURTHER INVESTIGATIONS.

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Concluded answer

It's a single joint of upper limb .it all could be tendonitis .Better to rule out crystal deposition. X ray normal. Get USG of this joint .

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See for arthritic blood investigations Such as Esr Crp ra factor Uric acid Accp Their is age related arthrites of Carpel and metacarpel joint mild form

May be soft tissue swelling. X ray appears normal. Do RA FACTOR

X ray normal apart from evidence of osteoporosis. Differential diagnosis. Tensosynovitis Arthopathies like rheumatoid or other sero negative arthopathies. Do Esr CRP ,RA factor Give analgesic Calcium supplements with vitamin D 3 hot water formentation and local gel application. Further management based on reports.

Evaluate for inflammatory arthritis Uric acid levels CBC esr RA factor Crp

रोगी गठिया से पीड़ित है। चिकित्सा संबंधी योग,,,, छोटी हरड़ को तवे पर देशी घी में भूनकर चबा चबाकर खाएं और फिर ताजा गिलोय का काढ़ा बनाकर पीने से लाभ होगा। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

? BLUNT TRAUMA.. SPRAIN.. ? ARTHROPATHY.. ? RA . . ? OA ..

Xray is normal ? Infection ? OA ? RA ? Gout Suggest NSAIDs, heat application, Volini gel and observation

Dislocation at 3 rd metacarpophalngeal joint Synovitis ra Uricosis oa Opinion of orthopedic

R/o RA Adv lab investigations

Thanx dr Yash Chadda
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Get uric acid, see for swelling May be Gout

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