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21 female Started with Immense pain in right great toe ESR 87 uric acid within limits RA factor negative No fever Nothing on x-rays What can be the causes?
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YESSOMEWHATNO
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It could be due to osteoarthritis. Raised esr suggests inflammation . If swelling present,Rest +ice+elevation might help. Anti inflammatory medicines required to reduce inflammation. Wear proper footwear. Orthopaedic consultation suggested to rule out other causes
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YESSOMEWHATNO
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