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
Hi , I'am Pranathi , a medical student. This is an E-Log , that depicts the patient centered approach for learning medicine. This has been done after taking consent from patient and their relatives. Here , we discuss our individual patient's problems through online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.