This is a de-identified open-online-patient-record with initial information in patient's voice, posted here after collecting informed patient consent (form downloadable here) by BMJ Elective Student.
45F obese lady having regular pain in one joint, but the painful joint is not same always, for few months it will be ankle, and then for few months it will be elbow or knee. Informal practitioner gaves tramadol recently which relieves for few hours, any other pain killer also helps a little. Past medication is very frequent use of calcium tablets since last 5-6 years. No hammer toe deformity. she is indian, brown skin, have discoloration on cheek skin since 10 years and have used various medication for that, it decrease/increases, and somewhat mostly in the butterfly shape area or sides of cheeks. Rheumatoid arthritis? what she should do for pain and minimize the side effects of medication?
she takes thyrox 100mg now. changes it based on her regular tests.
45F obese lady having regular pain in one joint, but the painful joint is not same always, for few months it will be ankle, and then for few months it will be elbow or knee. Informal practitioner gaves tramadol recently which relieves for few hours, any other pain killer also helps a little. Past medication is very frequent use of calcium tablets since last 5-6 years. No hammer toe deformity. she is indian, brown skin, have discoloration on cheek skin since 10 years and have used various medication for that, it decrease/increases, and somewhat mostly in the butterfly shape area or sides of cheeks. Rheumatoid arthritis? what she should do for pain and minimize the side effects of medication?
she takes thyrox 100mg now. changes it based on her regular tests.
No comments:
Post a Comment