40 year old female with generalised weakness
CBBLE UDHC SIMILAR CASES "This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box" Patient came with chief complaints of generalised weakness since 10 days, pain in the right hypochondrium and constipation since 10 days, walking with support since 3 days. HOPI: Patient was apparently alright 15 years back then she developed pain in small joints of upper limbs which was gradually progressive and associated with morning stiffness for which she went to hospital and was tested for RA factor positive. 6 years back she developed gene