Polymyalgia rheumatica
Polymyalgia rheumatica is a disorder that causes muscle pain and stiffness in your neck, shoulders, and hips. It is most common in women and almost always occurs in people over 50. The main symptom is stiffness after resting. Other symptoms include fever, weakness and weight loss. In some cases, polymyalgia rheumatica develops overnight. In others, it is gradual.The cause is not known. There is no single test to diagnose polymyalgia rheumatica. Your doctor will use your medical history, symptoms, and a physical exam to make the diagnosis. Lab tests for inflammation may help confirm the diagnosis.Polymyalgia rheumatica sometimes occurs along with giant cell arteritis, a condition that causes swelling of the arteries in your head. Symptoms include headaches and blurred vision. Doctors often prescribe prednisone, a steroid medicine, for both conditions. With treatment, polymyalgia rheumatica usually disappears in a day or two. Without treatment, it usually goes away after a year or more. NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases
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A 27 years married woman suffering with low hemoglobin associated with menorrhagia for 3 years. Blood is profuse, coagulated, dark colour. Hot pt. Appetite-good Craving- cold foods and drinks Thirst- profuse Perspiration- moderate Stool-regular Urine-normal Menses-regular but profuse Mind- Anxious, always in hurry Nervous Weak memory, forgets easily Please respected doctors suggest your views on this case.
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Pain in tongue, often tongue bit. Ill dentures since five years, 52years aged poor women.Tongue swelling, under chin lymph nodes swelling. Teeth are extracted by Dentist in Gov. Hospital. Holding cold water in mouth is amelioration of pain. *Chief Complaints* Pain in tongue. Speaking and eating problem. *History* It occurs three years ago, she treated by Dentist but pain not subside. *Vitals* Anaemic Hb%-9, ESR - 80+, *Physical Examination* Ill dentures dental sharpness causes laceration on tongue, gum infection caused lymph nodes swelling. Glossopharyngeal nerve involved. Tongue swelling causes speaking and eating problem. *Investigations* Need X-ray of gum, but not done. *Diagnosis* Ulceerative Stomatitis I think. *Management* Plantago Q and Merc sol cure swelling tongue, but pain gone by applications of Mullen oil internally and as well as externally. Scar gone by one dose Causticum 1m.
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