Concluded Case

Gout ( vat rakt)

Age 45 ...female From two days both Ankle joint get swelling , Pain only on touch , . Not on any medication specific .. Use tab.. Domperidom ominprozol from last 20 days ... Diagnosis and Rx ...

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Concluded answer

History suggestive of inflammatory condition adv serum uric acid and RA factor anti ccp test adv cold sponging 4to5 times a day and nsaid

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? ANKLE JOINT ARTHROPATHY.. ? MUSCULOSKELETAL PAIN.. NEED'S CLINICOPATHOLOGICAL EVALUATION WITH.. * HEMOGRAM.. * URINE ROUTINE.. * LFT..KFT.. * RA FACTOR.. URIC ACID.. * ECG STUDY.. MEANWHILE TREAT SYMPTOMATICALLY..

Tnx Dr Shivraj Agarwal sir
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Tender on touch with swelling ankles suggestive of artheropathy RA OA OR INFLAMMATORY DUE TO URICIMIA OR SYNOVIAL INFLAMMATION Adv xrays ankles CBC esr bsl RA factor anticcp sr uric acid

Thank you doctor
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seems like Artheropathy. Advice, RFT Sr uric acid Creatinine RA factor CBC TFT Xray Tab Aceclofenac TDS

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Needs sr uric acid,RA factor, x Ray ankle joint, BSR, sr Cal, vit D

Swelling ankle joint can be due to Injury Cellulitis Medication side effect Ocp antidepressants Ch venous insufficiency Lymphedema Heart failure Ch kidney disease Ch liver disease Hypothyroidism Investigate accordingly

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What is the diagnosis for the use of domperidone and omeprazole? What is the weight of the patient?? Investigation of uric acid level needed. Rule out arthritis

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History suggestive of inflammatory condition adv serum uric acid and RA factor anti ccp test adv cold sponging 4to5 times a day and nsaid

Thank you doctor
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D/d gout .. analgesic..hot fomentation...go for investigation s like s.calcium,urea,uric acid

Thank you doctor
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Suggest to blood tests cbc, LFT, Uric acid,CRP, Urea, Creatinine, urine routine

Thank you doctor
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