                                                               23244                                                            0.11.0
    Dr. Rajendr                                                   7023                     . sit
         Contact : +97           G.NO -ION NO.
                                                                                     CARES Multi-Speciality Clinic
                                                                             Clinical Immunology And Rheumatology &
                                                                                     Endocrine and Breast Surgery

                                                                                                                                                              Dr Avinash Jain

                       Name: Anjali Jain                                                                     DM Clinical Immunology & Rheumatology (SGPGI)
                       Age/Gender: 42/F                                                                                  IRF (UoB, UK) EULAR (USG Joint and MSK)
                                                                                                                                                MD MBBS (Gold Medalist)
                       Reg No:

                       Occupation:                                                                                                  Asst Professor, Rheumatology SMS

                       Ph No:                                                                                            For Queries & Appointment: 73399 05584

                       City:
C



                 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                                                                                         Mother and Sister - Early Menopause
                CDAIO                                                                                         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
          ···· ······ ··

          ···· ··· /····/ Aerobics

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

                   2. Tab Hb Tol OD 2/week (······ ··· ·· ··· - ···· ·· ·····)

                  3. Refresh e/d 1-1-1-1                                                                                         4mo
                  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)

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