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45 yrs old female with wrist and ankle joint pains since 4 years.
This is an online E logbook to discuss our patients' de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through a series of inputs from the available global online community of experts intending to solve those patients' clinical problems with the collective current best evidence-based inputs. This e-log book also reflects my patient-centred online learning portfolio and your valuable inputs on the comment box are welcome. 45 years old female came with C/O right and left wrist and ankle joint pain since 4 years C/O neck pain since 4 years C/O generalised weakness and difficulty in lifting weights since 4 years HOPI: Patient was apparently asymptomatic 4 years back and then patient developed joint pains such as wrist and ankle joint pains which is insidious in onset gradually progressive,dull aching type of a pain, associated with early morning stiffness lasts for 2 hours Pain aggr
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