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Tests to analyze weakness in right knee, cold sweat, itchy breast - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Average Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1725 Questions
Doctor :   hii
User :   hello
Doctor :  
how can i help u?
User :   i would like to ask about a 3 day symptom that i have with my right knee
Doctor :  
ok
Doctor :  
please proceed
User :   for 3 days already my riht knee is like really weak
User :   but no pain or anything
Doctor :  
ok
User :   and yesterday it feel like a little heavy and numb
User :   today its like double
Doctor :  
ok
User :   and just tonight my left elbow is starting to be like it a little
User :   i really have no clue
Doctor :  
ok
Doctor :  
whats ur age/sex?
User :   26 female
Doctor :  
do u have fever?
User :   no but i always have very cold sweat like 24 hours
Doctor :  
ok
Doctor :  
any rashes on the body?
User :   but there are also times that my face becomes super hot
Doctor :  
where are u from?
User :   philippines
Doctor :   ok

Doctor :   ok

User :   rashes none but my left breast became itchy for 2 days 2 weeks ago
Doctor :   any swelling of the joints?
User :   and after it was itchy it became very painful and heavy and swollen
Doctor :  
ok
User :   for me no, but my husband just 1 hour ago said that its a little big than the other
User :   my husband said it
Doctor :  
ok
Doctor :  
are u periods regular?
User :   no i dont have periods anymore
User :   i had hysterectomy last 2005
Doctor :   ohh okk
User :   and left oophorectomy 2007
Doctor :  
this is the first time u are having this problem?
User :   yes
User :   yes
Doctor :  
ok
Doctor :  
i will tell u few tests firt get the tests done
User :   when i stand up with my left legs up and the right supporrting it i have no control in bending it
Doctor :   ok

User :   and bringing it back up again
User :   what test would you recommend?
Doctor :  
yes
Doctor :  
first normal tests like tc ,dc,esr,hb%
Doctor :  
along with that RA FACTOR
User :   are this blood test?
Doctor :  
YES
User :   ok
Doctor :  
TC,DC,ESR,HB%,RA FACTOR
Doctor :  
ALONG WITH THAT U GET UR BREAST EXAMINED BY AN GENERAL SURGEON
User :   doctor what do you think my be causing this?
Doctor :  
IT MAY BE BECAUSE OF rheumatoid arthritis
User :   even if it doesnt hurt?
Doctor :  
which is an autoimmune disorder which will cause joint pains
Doctor :  
even if it doesnt hurt? ?
User :   the problem with my knees has no included pain
Doctor :  
but weakness is there na?
Doctor :   and also complaining of stiffness

User :   it does not feel anything but only in the area of the knee upwards
Doctor :  
ok
Doctor :  
did u have history of fall?
User :   the feeling is like when you sit in a position for a long time and when you move first its numb then after is like an electricity is there
User :   the only thing is the feeling is just the numb part
Doctor :  
ok
Doctor :  
i have told u some basic investigations
User :   but the lower portion after the knee i can feel
User :   ok
Doctor :  
as ur complaints are nonspecific
Doctor :   i cannot comment on the disease
User :   oh ok
Doctor :  
first i want to know the results of the investigation which will give some idea to diagnose
User :   how about the breast what do you think is causing that?
Doctor :  
for example knee f ever will be in many diseases we cannot diagnose just by fever
Doctor :  
ok
User :   ok
Doctor :  
this may be due to cylical mastalgia
Doctor :  
in this condition due to harmonal changes the breast will enlarge and become tender
User :   oh and painful also?
Doctor :  
tenderness means painfull
User :   oh im sorry i did not know that
User :   i have a recent cbc and blood smear result here do you think it may help on the thing with my knees?
Doctor :  
yes
User :   ill send you the result
User :   for a while
Doctor :  
ok
User :   Normocytic normochromic RBC. Occassional normocytic hypochromic cells. Occassional acanthocytes and schizocytes.
WBC adequate with almost equal predominance of segmenters and lymphocytes. Most of the segmenters with toxic granules. Atypical lymphocytes seen. No evidence of prematurity.
Platelets adequate occassional large forms and clumps seen. AnswerHi Angela: Normocytic normochromic RBC. Occasional normocytic hypochromic cells. Occasional acanthocytes and schizocytes.
Doctor :  
ok
Doctor :  
ur cbc is normal
User :   what does the atypical lymphocytes there means?
Doctor :  
lymphocytes are normal clels present ih the blood
User :   oh ok
User :   seg:43 lymp:40, mono:06, EO's 09, band/stab 02
Doctor :  
ok
Doctor :  
atypical lymphocytes indicates virqal infection
Doctor :  
and some times drug reaction also
User :   drug reaction?
Doctor :  
i feel it is better u go for RA FACTOR ONCE
User :   ok
User :   thank you very much for your time
Doctor :   once we rule out rheumatoid arthritis it will be fine
Doctor :  
please fill the feedback form
Doctor :  
are u there?
User :   yes
Doctor :  
are u there?
User :   ok
Doctor :   Have you filled the feedback form?

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