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Suggest Treatment For Fatigue, Anxiety And Knee Pain
My patient is a 52-year old female concerned with symptoms of fatigue, anxiety, irregular sleep habits, snoring, knee pain, and excessive belching. 5 2.5 , Wt 165 lb b/p 102/64, Pulse 62 Respirations 16, O2 99, Temperature 98F, Pain scale: 5/10 on a scale 1 out of 10. Postmenopausal 2011, Former smoker 2/1/00. Less than 3 drinks monthly. Enjoys ice coffee. A 12 year history of hypothyroidism and depression. Left knee scop 9/6/06 severe arthritis, Right knee scope 9/13/15 benign mass removed and arthritis. Gallbladder removed 11/5/11. Shingles 8/25/16.
Wed, 6 Mar 2019
Hello,
She is menopausal with a history of depression and hypothyroidism as well as osteoarthritis and all together these are causing the symptoms you've mentioned. The parameters you mentioned are normal. I hope she is taking treatment for all these conditions if not then I would suggest you take her to the consultants of this specialities-for depression and anxiety psychiatry, for hypothyroidism and osteoarthritis rheumatologist.
There might be a need for dose adjustment in the medicines she is taking as the symptoms are not relieved with the ones she is taking or some other diagnostic tests to see the progression of osteoarthritis and hypothyroidism. Consult these doctors and follow their advice for further management.
She needs to reduce weight as its more than considered normal for her height. Osteoarthritis worsens when there is increase in weight of the person which leads to pain and swelling in knee joints.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Manisha Auradkar, General & Family Physician
She is menopausal with a history of depression and hypothyroidism as well as osteoarthritis and all together these are causing the symptoms you've mentioned. The parameters you mentioned are normal. I hope she is taking treatment for all these conditions if not then I would suggest you take her to the consultants of this specialities-for depression and anxiety psychiatry, for hypothyroidism and osteoarthritis rheumatologist.
There might be a need for dose adjustment in the medicines she is taking as the symptoms are not relieved with the ones she is taking or some other diagnostic tests to see the progression of osteoarthritis and hypothyroidism. Consult these doctors and follow their advice for further management.
She needs to reduce weight as its more than considered normal for her height. Osteoarthritis worsens when there is increase in weight of the person which leads to pain and swelling in knee joints.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Manisha Auradkar, General & Family Physician
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