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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe, Constant Pain In Lower Back, Arms And Shoulders, Light Headedness. History Of Smoking And Occasional Amphetamine Use. All Tests Normal. Suggest

27 yo female, no history of disease, smoker and occasional amphetamine user. having severe lower back pain similar to labor cramps but not pregnant. also moderate pain in neck, arms (wrists/hands) and shoulders. pain is steady and constant. slight lightheadedness. went to ER yesterday concerned about heart attack but sent home, normal oxygen, blood pressure, heart rate, ekg, blood tests.
Mon, 2 Sep 2013
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General & Family Physician,  's  Response
Hi and thanks for the query,

It is very important from clinical scenario to exlude Polymyalgia Rheumatica. It actually presents as such with sensation of fever, lower girdle pain and shoulder pain and tightness. Doing an Erythrocyte Sedimentation Test (ESR) shall be important to further strengthen the possibility for this diagnosis. Other rheumatologic conditions like rheumatoid arthritis and lupus, sarcoidosis and mixed connective tissue disease are all possibilities.

I suggest you book an appointment with an internist with these ideas in mind. Kind regards.

Bain LE, MD
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Severe, Constant Pain In Lower Back, Arms And Shoulders, Light Headedness. History Of Smoking And Occasional Amphetamine Use. All Tests Normal. Suggest

Hi and thanks for the query, It is very important from clinical scenario to exlude Polymyalgia Rheumatica. It actually presents as such with sensation of fever, lower girdle pain and shoulder pain and tightness. Doing an Erythrocyte Sedimentation Test (ESR) shall be important to further strengthen the possibility for this diagnosis. Other rheumatologic conditions like rheumatoid arthritis and lupus, sarcoidosis and mixed connective tissue disease are all possibilities. I suggest you book an appointment with an internist with these ideas in mind. Kind regards. Bain LE, MD