Hi, there! How are you? How is everything going on around you? Hope that everything is happening according to your plan and expectation. I am also fine, Alhamdulillah. This is my 20th #iamalivechallenge post, the project run by @flaxz. This is also going to be my today's @actifit report.
At first, I am going to share a case history of a patient suffering from RA (Rheumatoid arthritis). Then, I will add a few take-home messages based on today's case. Following that, I will mention why I am grateful for today. And finally, I am going to share the proof of today's win. Hope that you will stay with me until the end of the post.

Case history

Today morning one Bangladeshi patient came to my chamber. He was 43 years old. He came with the complaints of pain and swelling in his right knee and right wrist joints. He also had similar problems in the small joints of his right hand. Before that, you have similar types of pain and swelling in the left knee and left wrist joints. A little pain was still there in the later joints but not like before. At this time, he had more problems in his right hand, wrist and knee joints.

According to him, his pain first started around 6-7 months earlier. In between, he was having a course of on-off pain in multiple joints of his body. The pain was more in the night and during the period of inactivities. In the morning, after waking up, he used to feel stiffness in his body. After some movement, the stiffness would go away.

I found his right-hand small joints (finger joints) were swollen. His right wrist joint was also swollen. All of those joints were tender on movement.

Considering all the facts in hands, it was most likely a case of Rheumatoid arthritis (RA). It is one of the most common causes of joint pain in adults. To reach the final diagnosis and to initiate the appropriate treatment for it, extensive evaluations are required. I suggested that he should go to a rheumatologist. I gave some symptomatic management and then he left.

Take-home messages:

Rheumatoid arthritis (RA) is a common cause of inflammatory joints pain. An inflammatory pain usually increases during a period of inactivity e.g. increase during the night. Following activities or movements, the pain decreases a bit.

Besides pain, stiffness of a joint is another important feature of RA. Similarly, with the movement of a joint, the stiffness goes away.

It affects females 3 times higher than male.

RA is highly prevalent among Pima Indians.

This disease follows a chronic course of exacerbation and remissions.

Reference: Davidson’s Principle and Practice of Medicine; 23rd Edition; page: 1021

My previous posts containing take-home messages. [ Descending order: Newest to oldest]

• Henoch–Schönlein purpura (HSP)
• Lipoma
• Fracture foot
• Diarrhea

Why am I grateful for today?

I am grateful to my creator that I am alive today.

I am grateful to Allah because I am not suffering from such a debilitating disease condition.

I am grateful to my Lord because He made me a doctor.

Alhamdulillah!

Here is the proof of a win. It is a project run by @wil.metcalfe and @adventureready.

This report was published via Actifit app (Android | iOS). Check out the original version here on actifit.io

Aerobics, Daily Activity, Moving Around Office, Play with kids/grand kids, Treadmill

Height 165 cm		Weight 68.8 kg		Body Fat %
Waist cm		Thighs cm		Chest cm