Monday, March 21, 2016

A 56 years old woman with heberden nodes since 2 or 3 months

This is a HIPAA de-identified open-online-patient-record with initial information in duty-doctors notes as well as patient's voice, posted here spring season 2016 after collecting informed patient consent (form downloadable here) by LNMCH research assistant and patient-information-communication-executive for a discussion initiated by patient's primary care physician in-charge: 

Patient ID is: UVARIA 462 HAMILTONII Hook. f. & Thom.
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C/O:
          OA (osteoarthritis) 
          - knee joint pain X 8 years
          - swelling in distal interphalangeal joints X 2 or 3 months
          - Heberden's nodes X 2 or 3 months
          - Trancal Obesity X 20 - 23 years

O/E Images:      Trancal Obesity measurement is 104 CM
          



                          swelling in distal interphalangeal joints


First visit in OPD Doctor's notes :