Investigations results

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

Normal radiograph.

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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