E- LOGS OF MEDICINE

CHIEF COMPLAINTS ;  Patient was admitted to the ICU on 27/9/22 at 12noon with bilateral  Pain in the upper and lower limb joints and tenderness of skin over surrounding tissue areaarea with early morning stiffness.  HISTORY OF PRESENT ILLNESS; Patient was apparently asymptomatic 5months ago then she developed pain of both the knee joints  and swelling followed by the ankle joints and nail bed. Pain - sudden in onset, gradually increasing in intensity, dragging type of pain, aggravates at night with numbness of both upper and lower limbs( when slept for a prolonged period of time in one position). She went to a local RMP in nalgonda and was prescribed medication(analgesics) which relieved her symptoms temporarily. The pain has affected her daily life activities ; she was not able to bend and wash her clothes and utensils, was unable to squat in the washroom.    3months ago she developed pain of both the shoulder joints with swelling, which involved her  elbow, wrist,  metacarpophalange

DEIDENTIFICATION  :  The privacy of the patient is being entirely conserved. No identifiers shall be revealed through out the piece of work whatsoever. CONSENT :  An informed consent has been taken from the patient in the presence of the family attenders and other witnesses as well and the document has been conserved securely for future references Documentation : is being done on 6th of september 2022 (Updates will be done later in the future with dates mentioned for the same)  My patient  is a 60 year old man , resident of ramulapeta, who is a daily wage labourer in construction work. CHIEF COMPLAINTS He presented  to us with chief complaints of Dry cough since 10 days  Dragging type of pain in both upper limbs since 10 days Lower back pain since 10 days Shortness of breath Grade 2 Chest pain near heart since 10 days HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 1 year ago . He then noticed involuntary movements of upper right limb at rest and decreased on moveme