a 36year old female elog
![Image](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhAXy7sm9DkIBwzUD6c2gTssZDk1sc6Mngf9i8GF7VJioWaGW1_90QRn4VqIx8jyZDgVi10aecChRLNlLimRJ7cV8Vmo2iCrb4GNfJjXTE5ItxjLQH37RDBDbQEA17NnbRx4ZgoplZNNJPnsCFkqFwcDZKRRRiFoJrEQRB4Hb02PKWdeKA3mLzEPaBG/s320/1664296724380.jpg)
This is an online E logbook 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 a series of inputs from the available global online community of experts intending to solve those patients' clinical problems with collective current best evidence-based inputs. The patient is a daily wage labourer who lives in a rural setup. CHIEF COMPLAINTS ; Patient was admitted to the ICU on 27/9/22 at 12noon with bilateral Pain in the upper and lower limb joints and tenderness of skin over surrounding tissue areaarea with early morning stiffness. HISTORY OF PRESENT ILLNESS; Patient was apparently asymptomatic 5months ago then she developed pain of both the knee joints and swelling followed by the ankle joints and nail bed. Pain - sudden in onset, gradually increasing in intensity, dragging type of pain , aggravates at night with numbness of both upper and lower limbs( w