Joint pain ankle bilateral Loss of appetite since 2 wks On off Rise BP

Female patient age 32 Weight 64kg Chief Complaints Joint pain Weakness History She is athelete and doing gym on daily basis but stop due to pain Vitals Bp:140/84 Pulse:85 Spo2 92 Physical Examination On examination mild swelling around heel Investigations Cbc: Esr 34 Ra factor 16.2 positive Xray Ankle NAD Diagnosis RA?? Management I prescribe Tab:Deflazakort 6 mg bd Tab:Rutoheal one Bd Tab: Aceclofenac 100 mg bd Tab:Shelcal d3 one od with milk All above med for one week patient feel relief but she is anxious about health What I can do for follow up

1 Like

LikeAnswersShare

Sounds like inflammatory arthritis You brought Remission with anti inflammatory medicines Now she need long term treatment to prevent Relapse Better do it in consultation with a Rheumatologist Rule out other medical conditions that can mimic inflammatory arthritis

Thank you doctor
0

Suggest CRP , Anti cyclic Citrulinated protein ( ACCP ) , ANA ( to rule out SLE ) Ultrasound exam of ankle joint to confirm synovial thickening and joint effusion. Follow with DMARD like HCQ, sulphosalicylic acid , methotrexate etc. Steroid can be tapered off. Vit D and calcium supplements. Rest , physiotherapy,

Thanks sir
0

View 1 other reply

Tab:adenomac 400 od for 7 days

Thank you doctor
0

Diseases Related to Discussion

Cases that would interest you