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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes High Fever And Joint Pains?

Hi doctor,My mother is 57 years old and she is suffering from fever, joint pains and headache. The level of her ESR is very high i.e. 110mm. She is taking the medications from last 10 days but still instead of decreasing; it's gradually increasing. Please help!Sonam
Fri, 20 Feb 2015
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Internal Medicine Specialist,  's  Response
HER SYMPTOMS OF FEVER ,JOINT PAINS AND ESR >110 SUGGESTS RHEUMATIC DISORDERS.I WUD LIKE TO KNOW IF SHE HAS VISUAL COMPLAINTS.ALSO I WUD EXAMINE FOR TEMPORAL ARTERY TENDERNESS.
IF THESE FINDINGS ARE POSITIVE SHE IS LIKELY TO HAVE GIANT CELL ARTERITIS FOR WHICH SHE SHOULD BE STARTED ON CORTECOSTEROIDS AND TEMPORAL ARTERY BIOPSY NEEDS TO BE DONE. ANOTHER CLOSELY ASSOCIATED DISEASE IS POLYMYALGIA RHEUMATICA IF SHE IS COMPLAINING OF STIFFNESS OF MUSCLES.
HER DETAILED CLINICAL EXMINATION WILL MAKE THINGS CLEAR WITH INVESTIGATIONS OF COMPLETE BLOOD COUNT,RA FACTOR AND ANA.
LAST DIFFERENTIAL DIAGNOSIS OF TUBERCULOSIS ALSO TO BE KEPT AT THE BACK OF MIND
THANKS
DR PRANAY BUDKULE
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What Causes High Fever And Joint Pains?

HER SYMPTOMS OF FEVER ,JOINT PAINS AND ESR 110 SUGGESTS RHEUMATIC DISORDERS.I WUD LIKE TO KNOW IF SHE HAS VISUAL COMPLAINTS.ALSO I WUD EXAMINE FOR TEMPORAL ARTERY TENDERNESS. IF THESE FINDINGS ARE POSITIVE SHE IS LIKELY TO HAVE GIANT CELL ARTERITIS FOR WHICH SHE SHOULD BE STARTED ON CORTECOSTEROIDS AND TEMPORAL ARTERY BIOPSY NEEDS TO BE DONE. ANOTHER CLOSELY ASSOCIATED DISEASE IS POLYMYALGIA RHEUMATICA IF SHE IS COMPLAINING OF STIFFNESS OF MUSCLES. HER DETAILED CLINICAL EXMINATION WILL MAKE THINGS CLEAR WITH INVESTIGATIONS OF COMPLETE BLOOD COUNT,RA FACTOR AND ANA. LAST DIFFERENTIAL DIAGNOSIS OF TUBERCULOSIS ALSO TO BE KEPT AT THE BACK OF MIND THANKS DR PRANAY BUDKULE