Concluded Case

Rhumatoid arthritis

28year old male pt, has severe joint Pain, mainly the major joints like both the knee, hip, shoulder.. He also has pain n swelling in the PIPs of both the hands.. pain is more at rest and early morning lasting for few hours or until he takes some medications.. His CBC is normal, RA factor positive, crp n Esr are marginally raised.. anti CCP report is awaited.. Treated with eterocoxib with not much relief.. Pt actually cannot do any work due to the pain.. kindly comment about the management..

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Concluded answer
RA POSITIVE c/o of RHEUMATOID ARTHRITIS Rx tab lefno 20mg 1od Tab hcqs 400mg tds Tab salza 500mg 1tds Tab dispred4mg 1tds Tab eterocoxib 90 mg 1bd Add on cap indomethacin sr 75mg 1od Tab pan 40 mg 1od Keep followup
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RA POSITIVE c/o of RHEUMATOID ARTHRITIS Rx tab lefno 20mg 1od Tab hcqs 400mg tds Tab salza 500mg 1tds Tab dispred4mg 1tds Tab eterocoxib 90 mg 1bd Add on cap indomethacin sr 75mg 1od Tab pan 40 mg 1od Keep followup
Thanx dr Dinesh Gupta
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Rheumatoid arthritis Tab Methotrexate 7.5mg once in week Tab Folic acid 5mg 2 tabs weekly Tab Prednisolone 20mg daily 8AM, gradually tapper slowly NSAIDS PPI Physotherapy
Sir I think HCQ or sulfasalazine should be added along with Methotrexate
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Its a Connective tissue disorder. Rheumatoid arthritis is an autoimmune condition, which means it's caused by the immune system attacking healthy body tissue. ... If you have rheumatoid arthritis, your immune system mistakenly sends antibodies to the lining of your joints, where they attack the tissue surrounding the joint.. It is a chronic inflammatory disorder that can affect more than just your joints. In some people, the condition can damage a wide variety of body systems, including the skin, eyes, lungs, heart and blood vessels.. Painkillers.....*Non-steroidal anti-inflammatory drugs (NSAIDs)disease- **Modifying anti-rheumatic drugs (DMARDs) **Steroids (also known as corticosteroids).
Thank you doctor
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Rheumatoid arthritis Try next level of treatment with DMARD Consultation with a rheumatologist for long term treatment
It's a case of RA START with methotrexate HCQ and prednisolone and NSAID
Thank you doctor
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Case of RHEUMATOID arthritis D/D Rhumatic arthritis As ASLO titer CR P
Thank you doctor
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SUGGESTIVE of ..... R. A.. ADVISABLE ..D. M. A. R. D..
A case of rheumatoid arthritis
ASO tire, Uric acid, ANA profile need to be done . Can be treated with DMARDs since pain relief with etoricoxib is poor . Can be started with HCQS and salazopyrin . If response is poor, steroids can be added .
Thank you doctor
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Tab. Saaz bd for 10 days Tab. Piroxicam 20mg bd for 10 days Tab. Predmet 16mg bd for2 days then od for 8 days... Cap. Rabicip dsr OD Tab. Plezer-G OD for 10 days.. Tab. Rumayala forte BD for 30 days...