Question: present complaints:
Loss of weight and appetite X 5 months. Has lost 9 kg in the last 3-4 months
Increased fatiguability X 5 months
Pain in the shoulders and knees. There is a huge problem getting up and sitting down.
Numbness in the feet X 5 months
Swelling in the feet X 5 months

Known diabetic X last 8 years. He had a frozen shoulder this December for which he received physiotherapy. It is slightly better now. Neuropathy in the feet has been diagnosed. Dry eyes , more so on the right side. He was put on long term ocular steroids after which he developed an eye infection. Following this, steroids were discontinued and he's currently receiving Systane and Genteal ointment.
Known case of psoriasis for >20 years. Flared up after development of diabetes. Mainly restricted to the lower legs. While it is not such a big problem, he does use an ointment when it flares up.
Known case of rheumatoid arthritis for 4 years. Started off with affecting the knees, shoulders and wrists (B/L involvement).
Treatment and reports are attached.

Thanks in advance