04 Amit Sharma 2017
Case=36 year old female patient with Multi joint pain January 09, 2022 Name- Amit Sharma(04) Batch- 2017 Note: This is an online E Log book recorded to discuss and comprehend our patient's de-identified health data shared, AFTER taking his/her/guardian's signed informed consent. 36YEAR OLD FEMALE WITH JOINT PAINS, MALAR RASH, ORAL ULCER A 36 years old female patient came with chief complaints of Multi joint pain since 2 months ,morning stifness of joints since 1 month ,Menorrhagia since 1 month HOPI Patient was apparently asymptomatic 2 months back, then she had rapid weight gain, menorrhagia, multiple joint pains, she visited a hospital and was found that her TSH was >100 mlU/L and was started on THYRONOME 100 micrograms. Her menorrhagia subsided, but she continues to have multiple joint pain (all small joints and large joints) associated with swelling of joints, morning stiffness for 30mins, on evaluation she was found to have CRP (+), Hb-10.8gm/dl, Uric acid-7.8 an