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
See this content immediately after install