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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Swollen Ankle, Red Dots On Legs, Prominence On Back Of Ankle, Hair Loss, Geographic Tngue. Taking Bupropion, Adderall, Avodart

I have a swollen ankle. There a few red dots on my legs that appear to be bug bites, but they don t itch and I m not outside a lot. Earlier in the Summer, my other ankle was swollen and there was red blotches on my right leg. The blotches almost looked like bruises. Additionally, there are 1 or 2 lipoma-like prominences around the back of my ankle. You can only tell they are bumps when you palpate it. I have had them since May. It seems like they present themselves, then about the time it goes away a new one will show up. Ancillary symptoms: *hair-loss (which has been happening for a year or 1.5 years but has increased in rate as of late. * geographic tongue (began in July) *systolic BP around 150 I take: *avodart - for hair-loss * bupropion - for depression * adderall - for add and lethargy I m 29 and fairly slender. I don t have an excellent diet but don t eat super bad. I am a pharmacy student full-time and work 2 jobs as a pharmacy intern (one at a hospital and one at a retail pharmacy)
Thu, 19 Sep 2013
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General & Family Physician 's  Response
Swollen ankle with "bug-bite like lesions" a reurrent problem raises a suspicion of Reactive Artheritis, Please get a urine routine and a complete blood count with an ESR, Uric acid done to take it forward. In the interim please support the ankle with a Ankle - gaurd and take a Paracetamol 650 mgm for pain.
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Swollen Ankle, Red Dots On Legs, Prominence On Back Of Ankle, Hair Loss, Geographic Tngue. Taking Bupropion, Adderall, Avodart

Swollen ankle with bug-bite like lesions a reurrent problem raises a suspicion of Reactive Artheritis, Please get a urine routine and a complete blood count with an ESR, Uric acid done to take it forward. In the interim please support the ankle with a Ankle - gaurd and take a Paracetamol 650 mgm for pain.