60/M c/o fever since 10 days and multiple joint pains since 1 yr
12/09/2023
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Khushi Tulsyan, Intern
Roll no. 49
Pt c/o fever since 10 days which is high grade and is relieved on taking medication and is associated with chills and rigours which is more during nights
C/o multiple joint pains (both hands metacarpophalangeal joints + both knee joints + both elbow joints) since 1 yr
Joint restriction present
Morning stiffness present
H/o trauma to left leg in the middle toe 1 month back
No c/o cough
C/o weight loss since 6 months
C/o decreased urine output
C/o lower limb swelling since 1 year pitting type till ankle
H/o chronic NSAID’s abuse since 1 yr for joint pains
N/k/c/o Htn dm tb asthma cva cad
Perosnal history-
Diet - Non veg
Appetite-decreased since 1 month
Bowel movements- Regular
Sleep - Adequate
Addictions- smoked chutas 1 pack for 20 yrs stopped 1 yr back
No significant family history
GENERAL EXAMINATION-
Pt is c/c//c
Pallor - Mild
Icterus - No
Clubbing - Yes
Cyanosis- No
Lymphadenopathy- No
Edema - b/l pitting upto knees
Temp - 101 F
PR - 78 bpm
BP -120/70 mmhg
Grbs - 90 mgdl
CLINICAL PICTURES-
CVS - S1 S 2 +
RS - NVBS
P/A - Soft and NT
CNS - NFND
GAIT - Slow
Joint tenderness : R L
MCP joints + + ( joint restriction present)
DIP + +
PIP + +
Provisional Diagnosis:
?Rheumatoid Arthritis with ? Ckd with lt foot cellulitis
Surgery referral was done i/v/o cellulitis in the 3rd left toe and magnesium + glycerin dressing was done after pus drainage from wound
INVESTIGATIONS-
Hb - 8.7 gmdl
Plt - 4.46
Tlc - 17600
Rbs - 109 mgdl
Blood urea - 68 mgdl
Urine albumin - ++
Crp - 1.2 mgdl - Positive
Esr -
RA - Negative
Sr creat - 2.5
Na - 135
K - 3.7
Cl - 104
Ca - 1.30
Blood cultures-
Urine cultures-
Uric Acid -
Culture for wound swab-
Xray-
ECG-
USG-
Grade 2 RPD changes in Rt kidney
Grade 3 RPD changes in Lt kidney
Plan of Treatment-
Inj Augmentin 1.2 gm IV/BD
Inj Metrogyl 500 mg IV/TID
Inj Pan 40 mg IV/OD/bbf
Tab HCQ 200 mg PO/BD
Tab Dolo 650 mg po/tid
Inj Neomol 1 gm IV/SOS ( if temp >101F)
Tab lasix 40 mg po/bd
Tab mvt po/od
Tab ultracet po/bd
Tab nodosis po/bd
Tab shelcal ct po/od
Regular MGSO4 dressings to lt foot
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