Consulta
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- One Day, Nancy was talking with her friend about something that was worrying her
- I hope she doesn´t preach me
- So, tell me what´s on your mind?
- Two days ago, I was cleaning my son´s room, and when I got on my knees I felt a pain there.
- First I thought it was because I was on my knees but when I got up the pain remained.
- Yesterday while I was sending an e-mail, I felt another pain but this time in my hands
- Finally this morning, right before making breakfast, the same pain was on my hands and knees.
- Dont´t be foolish. You know I don´t have time for that, even if I wanted to.
- That´s odd. Have you been doing exercise?
- i...I really, don´t want to. I was wondering if you know some home remedie.
- Calm down Nancy. You need to go to a Doctor.
- What??
- Oh, no. That´s what I fear
- Who is foolishing now? Let´s go. I´ll take you myself to see a doctor.
- Some time later, they where at the hospital.
- Shut up!
- Off you go Nancy, and don´t be ashame when she ask your age.
- The Doctor will see you now miss Nancy. Your friend can wait here
- Good afternoon doctor. My name is Nancy
- Good Afternoon I´m Doctor Reyna Rojas and I´m going to be attending you today. Can you tell me your name, please?
- Well Nancy why are you coming to consult?
- Well ... I was with a friend of mine...
- So she tell the doctor everything she said to her friend earlier.
- Please, take a seat, I need to Check your joints, is that ok?
- Does the pain have a time to appear? Like in the night?
- How old are you?
- No, it´s all day long
- 45 year old, if you must know doctor
- Yes, it´s ok, thanks
- My mother has it.
- Then, the doctor, checked her knees and hands. She also made some more questions about the pain.
- Nancy I finished the exploration, tell me anyone in your family has a disease in the bones? Like arthritis?
- Well we need to rule out arthritis so I´m going to ask you to make laboratory studies for C-reactive protein for arthritis reumatoide. Do you have any questions?
- Yes, what is it really? I know my mom has but that is all I know
- Don´t worry, that´s ok. Arthritisis is very common but is not well understood. Actually, “arthritis” is not asingle disease; it is an informal way of referring to joint pain or joint disease. There are more than 100 types of arthritis and related conditions.People of all ages, sexes and races can and do have arthritis
- Common arthritis joint symptoms include swelling, pain, stiffness and decreased rangeof motion. Symptoms may come and go. They can be mild, moderate or severe. They may stay about the same for years but can progress or get worse over time. Severe arthritis can result in chronic pain, inability to do daily activities and make it difficult to walk or climb stairs
- There aremany types of Arthritis· Degenerative Arthritis · Inflammatory Arthritis· Infectious Arthritis· Metabolic ArthritisAnd there is medication for every tipe, so, there´s nothing to worry about, because we are in time.
- Yes, but also I´m going to prescribe you some analgesics like Ibuprofen of 600 mg you are going to take them every 8 hours, an anti-inflammatory like Diclofenac every 12 h and Vitamins D and calcio 1 pill at day. Do you have any questions about the medication Nancy?
- I just go to the lab and ask for it like this along with your sheet, right?
- Not at all, thank you Doctor
- Well, I need to get to the lab for some studies. She also gave me some meditations for the pain. So let´s go please.
- ok, let´s go
- So, what did she tell you?
- And what Was it? the pains?
- She thinks it´s arthritis
- Shut up, you are older than me!!!
- You are getting old Nancy
- THE END...for now
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