Dr. Mehul Nayak (Obstetrics & Gynecology) needs a second opinion on this medical case.
H/o swollen fingers. Discharge from fingers.more during winter. Rhynaud' phenomenon present. *Chief Complaints* Primi came for confirmation of pregnancy. *History* Treatment taken from rheumatologist. No papers available. *Vitals* HR 96/min, BP- 120/80 *Physical Examination* P/A soft peripheral examination- both hand tip of fingers red ,shiny and swallon. *Investigations* Sm/RNP AB-24,SSa/Ro 60 ka ab-22,scl70ab-56
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