Case history: A patient with RA|| Take-home messages || IAAC #20 || Actifit report and a win||

in Actifit2 months ago

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]

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.


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

Aerobics, Daily Activity, Moving Around Office, Play with kids/grand kids, Treadmill
165 cm
68.8 kg
Body Fat


Congrats on providing Proof of Activity via your Actifit report!

You have been rewarded 71.235 AFIT tokens for your effort in reaching 15588 activity, as well as your user rank and report quality!
You also received a 1.41% upvote via @actifit account.

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hello dear friend @ hafiz34 good day
I appreciate very much that you let us know all this information about this disease, you are very kind
stay safe and take care dear friend

You have made swift work of those steps! This is a #Win!