Ellie Olryan
Age: 27
Sex: Female
Patient History
Ellie has come to see her general practitioner because of joint pains in her hands and feet.
She is a 27 years old. She is currently on parental leave and is 3 months post partum. Her child is still breastfeeding, and is developing well.
She first noticed symptoms 8 weeks ago. Describes swelling and stiffness in her wrists, knuckles and fingers. Symptoms are worse in the mornings when she first wakes.
Reports symptoms in her feet, and describes it like ‘having stones in her shoes’ when she starts walking.
Taking ibuprofen tablets from the pharmacy, which have helped her symptoms.
Full Blood Count
Normal blood count
Clinical Biochemistry
Investigation Name | Investigation Result | Normal Range | Units |
---|---|---|---|
C-reactive protein (CRP) | 21 | mg/dL |
Hand ultrasound
Hand ultrasound (active synovitis in wrists
Hand radiograph
Immunology
Investigation Name | Investigation Result | Normal Range | Units |
---|---|---|---|
Rheumatoid factor | 35 | ~ | iu |
Anti-CCP antibody | 134 | iu | |
Anti-nuclear antibody | 1:40 | ||
Double stranded DNA antibody | < 2 | iu |