pt is hvng fvr wth jnts pain since a month anable to lift her both uppr lmb

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Hello everyone... In this case E.S.R. is raised to a high level.. Following are the conditions of high E.S.R level :- Inflammation Pregnancy Anaemia Autoimmune disorders like ( Rheumatoid arthritis, lupus) Infections Some kidney diseases Some cancers like (lymphoma and multiple myeloma).. So this case seems to be of rheumatoid arthritis( Autoimmune one ) and fever is due to this can say rheumatic fever.. So pls confirm it by R.A. test.. Then start futher medications according to it.. Provide detailed history for medications... Regards...

May be Gouty Arthritis or Rheumatic fever. Aam vat pramathani Vati Giloy ghan Vati Maha yograj guggul Ahwagandharista + dashmoolarista. massage gently with Maha narayan tailam. Rudanti ghan Vati may be added

Dengue ruled out as high platelets Adv RA test As well rule out autoimmune disease tsh, Lft,rft.

बसंत मालती रस, योगेन्द्र रस, एक एक रत्ती सत गिलोय 4 रत्ती भर शहद मिलाकर सुबह-शाम सेवन कराएं महारास्नादि क्वाथ 25 ग्राम सुबह-शाम सेवन कराएं महानारायण तैल की मालिश करें। निश्चित रूप से लाभ होगा योग परिक्षित है पिछले 40 वर्ष से प्रयोग कर रहा हूं

use this medicine 1 tab sarv juwar her loh one bd 2 Goudanti bhasam 10 mg two times daily with honay 3 sitopiladi churan one tea spon two times daily 4 sheikh pachan churan one tea spon ate night with warm water 5 aap rojana rat ko ek Glass milk m 5 gm haldi mila kar pilao

It's viral.

May be gouti arthritis or tuberculosis or rhumatid arthritis. ESR SHOOTS UP possibly in these conditions

Check for test tb gold

Need to check sr electrolytes of the patient. I think unable to lift both legs can be due to hypo kalemia and fever part should be treated with broad spectrum antibiotics and also mean while try to rule out kochs and Widal

possibility of Rhumatic fever..kindly check for uric acid

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