36 YEARS OLD FEMALE WITH MULTIPLE JOINT PAINS

  This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input.




This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome.



I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input


               36 YEARS OLD FEMALE WITH MULTIPLE JOINT PAINS

A 36 years old female patient came to opd on 5\1\22 with complaints of: 

-multiple joint pains since 2 months

HOPI:  

          patient was apperently asymptomatic 2 months ago . then she developed multiple joint pains . she visited hospital on investigating her TSH was >150, she was prescribed with tab thyronorm 100mg

her joint pains were not subsided and associated with low grade fever , she had slight swellings over joints , stiffness , morning stiffness for 30 mins



she developed ulcers on tongue 15days ago 



PAST HISTORY: 

              no h\o diabetes, hypertension

              no history of similar complaints in the past 

              she is a known case of hypothyroid on medication since 2months 

PERSONAL HISTORY:

              diet: vegetarian       appetite: normal

              bowel : regular        micturation: normal

              no addictions

   GENERAL EXAMINATION: patient is conscious ,coherent , cooperative .

no pallor , icterus,cyanosis,clubbing,lymphedenopathy,edema 

VITALS: 

          temp: afebrile at present 

           bp: 100\70mmhg

          pulse rate: 100pm

          respiratory rate: 18cpm

SYSTEMIC EXAMINATION: 

CVS: s1 s2 heard no added murmurs 

RS:  BAV + ,NVBS heard 

P|A: soft, non tender, no organo megaly,no distension,bowel sounds heard 

CNS: no deficit 

PROVISIONAL DIAGNOSIS: ?RA 




TREATMENT : 





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