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.
Primi came for confirmation of pregnancy.
Treatment taken from rheumatologist. No papers available.
HR 96/min, BP- 120/80
P/A soft peripheral examination- both hand tip of fingers red ,shiny and swallon.
Sm/RNP AB-24,SSa/Ro 60 ka ab-22,scl70ab-56