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B/L ankle swelling
B/L ankle swelling 1 month. First one was swollen then the other. It is slightly pitting, warm to touch, tender and pain while walking. Left elbow and wrist stiffness. Knee pain (on and off). Serum urea creatinine and LFT normal. ESR elevated(72mm/hr). Her own sister is RF+. No fever.
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X-ray is near normal . Needs clinical examination and blood tests - CRP , RA FACTOR / ANTI CCP , ANA . Start tab Etoricoxib 90 mg after breakfast and Pantocid 40 mg before breakfast .Daily walk for 45 min and exercises.
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There is good clinical suspicion of RHEUMATOID ARTHRITIS because high ESR AND MULTIPLE JOINT PAINS and stiffness
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Need confirmatory tests like RA FACTOR IgM, Anti CCP ANTIBODIES. X ray knees and then review to see if MRI KNEE IS REQUIRED
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As per history looks rheumatic problem consult some orthopedic Or rheumatology person
Next Steps
don't start self medication
Health Tips
you have to remain under supervision of doctor
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Large Joint swellings with positive family history of RA is a indication of arthopathy commonly. Kindly meet a rheumatologist and get blood profile done. They will start you on medication
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X ray shows age as 50 ? What's her blood pressure ? She need detailed clinical evaluation . Get some blood tests done FOR INFECTION / arthritic profile . For pain you may start with some painkiller but without consulting dr avoid self medication
Next Steps
blood investigation for arthritic profile , infection
Health Tips
video consult is one option
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Dr. Shantanu Jain
Orthopedist
6 yrs exp
Indore
Need to get inflammatory markers done - RA factor , uric acid , cbc
Next Steps
investigate
start treatment as per reports
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Dr. Siddhartha Maredupaka
Joint Replacement Surgeon
12 yrs exp
Hyderabad
Sad to hear this
Want to rule out RA here
Get all the inflammatory parameters done
Next Steps
Get the following blood tests
RA Factor
CRP
Anti CCP
CBC
Health Tips
Get in touch with the reports
God bless !
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.