Dr. Manoranjan Meher (Internal Medicine) needs a second opinion on this medical case.
31yr Male cement worker presenting with swelling and pain of both feet and DIP joints in hands since 2yr,pedal edema subside during night and gradually appear during day time, also have decreased temp. sensation on both hands and tingling sensation after cold bath. He also complains of having mild itching skin lesions on multiple sides and loss of wt...D/d, investigations, treatment.
See this content immediately after install