WEDNESDAY CASE 6TUDY- bly
ame - M.
dge - 5D 4evs
Heethesamg
ender - Hale
OP to. - b47tu
Occuatien-uoking dn auarim cho.
Date assessment- 25-04 -2020
Diagnesis - (Rheumatoid anthitis
chieß complainta
2) Bßees resent in B/L 1at and 2nd
etacasthalarqa jointa and elooit,
hstey -
Raient had a s t isley o B|L hnee ai
in the ean 2014, Ro othich edent to a iate
hosital vand teok teatment. ince, the ain as
untolenable and on nsatislaction te ie wadmitted
i dignan drna evenent tloital Rer Sndian
Medicine Ror the unatien g Rour monthe and toot
syeudka teatment. titen, dnn 2015 Re ent to dholo
Aeital Ro the kane nee tain and had Rnee
And tuas Bath eatnent Roe itroith sotiich Decame
Cnod in 205. S. 201b, he had copline o neqlar
3ionach dicconkott Ro hi all nvstiytios
Madras MedicalCoilege, Chennai -3.
, Rtotek do e tiomal, Sn Decemlen 2019,
tatient teliced tain in latenal hand and
Came dinecty do heneral oP o RGGGH vand
ilend to Peunatolaqy deantnent or Rethen
thanaqenet
N0k/clo, smeker Iialcohoic and has trieed d
Ho, lernial rehain in the year 19a0,
NlHjo, Seen / thaumalany l incidente
NJklclo, DM/HT/ CAD PTB/ cVp/ BH|8eige.
Nao, qeretic
PT assessment -
/Rarndial aedigoitio
Ratient s conscieus, oiented and
Aesponde ell to his sunouding.
Bult- Mecomonhic
Bostuoe Nonal
Bdema dent