Rheumatoid Arthritis
Rheumatoid arthritis Chief Complaints A 59 yr old male has come with pain and swelling in multiple joints of foot, knee jt, small joints of hand, wrist, shoulder and sterno clavicular joint for past 2 yrs. Pt stated that he is a known diabetic and taking Ayurvedic and homeopathic treatment. Also pt had associated alopecia, facial puffiness, vasculitic lesion of skin(suspected). No H/O HTN, thyroid disorder, substance abuse, fever, chest pain, cough, kidney disorder etc. We suspected it as connective tissue disorder and did RA factor, ESR, CRP and CBC, which came to be positive today. Xray of this pt showing juxta articular osteopenia and Erosions classical of RA. In ACR EULAR criteria pt fulfills the criteria with 9 points. Anti ccp is raised. Today admitted the pt and started RA specific treatment. Pt is doing well on medication and is on regular follow up.
Methotrexate 7.5 mg once a week Minoxidil 5% apply in night Tab vb7 od And manage according symptoms
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Rheumatoid Arthritis under Ix with UTI? *Chief Complaints* A 50 yr old female has come with pain in multiple joints for past 14 yrs. There is also associated alopecia and recurrent mouth ulcer. Pt is also suffering from depressive illness. No H/O HTN, T2DM, Thyroid Disorder, Substance abuse. Normal Menstrual cycle. O/E symmetric small joints of small hand, wrist, knee joint and ankle are involved without any visible deformity. Pt has pallor.. Rest findings are normal. Routine Ix along with ESR, CRP, RA factor, Xray of chest, digits and knee jt was done. Also Routine Urine examination. Reports have shown positive RA factor, raised ESR, low Hb, pus cells and hematuria in urine and juxta articular osteopenia and cavity of digits. As per ACR -EULAR criteria pt fits the Dx of Rheumatoid arthritis. Will send sample for anti ccp. Has admitted the pt and started symptomatic management. Also sent sample for Urine C/S, USG W/A, 24 hr urinary protein etc.
Dr. Ashutosh Chandan Dubey2 Likes1 Answer - Login to View the image
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### 45 years old Muslim housewife got admitted with the complaints of joint pain for 2 & 1/2 years. Associated with generalised purpuric & non blanching rash for 3 days which is more on both lower limbs & upper limbs. H/o mild fever for last 3 days associated with oral ulcer. Known case of IHD, COPD & Hypothyroidism. What's your D/Dx ??? What's your Dx ??? What are the investigation that you will do ??? How will you treat the patient ???
Dr. Shofique Anowar5 Likes32 Answers - Login to View the image
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