Curofy
Dr. Ghiyas Uddin (Internal Medicine) needs a second opinion on this medical case.
45/F came with History of fever since 1.5 months for which she consulted a chest physician, She was started on ATT on the basis of having "Tuberculous pleural effusion" (No sputum or P fluid examination was done as per history). Fever decreased during ATT, but some other doctor stopped ATT. Now she has joint pains (small joints of hand) . And blackish discoloration of both legs, with few punched out ulcers. General appearance is undernourished debilitated. Please Give your valuable opinions. Hb 6.6 Esr 95
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