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A 50 year old female 1st pain in both limbs crushing type edema developes in left side of face and pain at tip of shoulder no history of truma, fever. She is hypertensive and diabetic since 6months to 1 year.
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Dr. Nagarajyrs exp
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Please do check her blood and urine of following test such as ra factor hla b-27 zinc s. Alk. Phosphate lipid profile aso titre anti smooth musle test and ammonia from nabl lab and do consult neuro physician of rheumatologist and neuro physio for pain management.
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