                                                                          CARES Multi-Speciality Clinic
                                                                  Clinical Immunology And Rheumatology &
                                                                           Endocrine and Breast Surgery



          Name: Anjali Jain                                                                                                                      Dr Avinash Jain

          Age/Gender: 42/F                                                                       DM Clinical Immunology & Rheumatology (SGPGI)

          Reg No:                                                                                            IRF (UoB, UK) EULAR (USG Joint and MSK)

          Occupation:                                                                                                              MD MBBS (Gold Medalist)

          Ph No:                                                                                                       Asst Professor, Rheumatology SMS

         City:                                                                                               For Queries & Appointment: 73399 05584




      13-Sep-23


     Diagnosis
     RA on CAM - ACPA positive PR
    ? Thal
     Ocular sicca
     Viral M negative
    Onset Aug 2018


                                                                                                    Apr 23
      Dec 22
                                                                                                   LMP 8th Oct 22
       AJC 0
     CDAIO                                                                                         Mother and Sister - Early Menopause
                                                                                                   EMS 1-2 hrs from 20 days
     Global 80%
                                                                                                    AJC 0 ESR 12
                                                                                                    LBP with EMS from 20 days; no rest pain
                                                                                                    Global 90%

 Sept 23 - off meds from 2 weeks - CDAI 1 = occ pain
                                                                                                   REC
 Ocular sicca under Ophthal
Hemoglobin is 10.2, platelet 2.96, red cell distribution width CV is increased ESR is 6 CRP 0.54 liver and

 renal functions are within normal limit. Total rbcs are 5.11


Advice
···· ······ ··

···· ··· /····/ ACrobIcs·

         1. Tab Nidtrex 25 mg (10 mg ···· ·· 15 mg ···) 1/week (······ ··· ·· ··· - ······)

         2. Tab Hb Tol OD 2/week (······ ··· ·· ··· - ···· ·· ·····)"
                                                                                                                    4mg
         3. Refresh e/d 1-1-1-1

         4. Tab Torib 90 mg sos (··· ·· ·· ····- ···· ···· ··)

         5. Bonemax D3 once a month (····· ··· ·· ···)



                 Review in 4 months with CBC ESR SGOT SGPT Creatinine CPR (Quantitative)



 For Appointment - please book online at www.rheumatologyindia.co.in or call 73399 05584 (8AM to 8PM)




                                                                                                                                                                   Website

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