{"text":"CLINICAL INFORMATION \nPage 3 of 6 \nHistory of presenting complaint \nPresenting complaint. \nDescriptibn: ?RA, warsening joint pain. \n\u201cComment: Dear Doctor, \nNSAID's due to GI upset. \nshe is mabilising currently with one stick. \nreviaw to see if there is anything else that we can offer her. \nKind regards. ' , \nYours sincerely, \nDr. E Stafford \nI would be very grateful if you could see this 59-year-old lady, she has had joint pain for a number of years, \nhowever, she feels recently they have worsened since stopping her Celebrex. This was stopped due to \ncardiovascular concerns as she is a diabetic with hypertension. She is unable to tolerate Ibuprofen or-other \nShe describes that her hands, especially wrist and fingers are swollen and painful and especially in the morning \no when they are very stiff. She also feels her shoulder, neck and hIpS are very sore.and this-is limiting her mobility, \n1 have restarted her Celebrex as she is really strugglmg and this seems to be the only thing that works for her and \nasked her to get some bloods checked and an x-ray of her hands, however, 1 would be very grateful for your \n\u2018Reason for referral \nCare type requested: Out Patient \nhttps:\/\/www. ggc-pOrtal.scot.hhs.uk\/cViewer\/process.action?encryptedf{equest=SFASBE... \nExpected outcome: Not Specified \nPast medical history \nPre-existing conditions (High & medium priority - all) \nL ' . Date of \nDescription Comment Modifier \u2018 onset \nRupture Achilles tendon - tendon transfer L achilles tendon. 2\u2018?;\u201c v 01-May\u20142013 \nRecurent+persistent NEEDS REFERRED IF UTI \/ FRANK HAEMATURIA; _ 23-Feb-2011 \nhaematuria microscopic . \nSore throat NOS Recurrent . - 26-May-2010 \n[D]Heartburn + refiux - 26-May-2010- \nLump in breast 2 months history- 12 o'clock above R areoia. - 25-May-2010 \nWrist\/hand sprain NOS Left ; Wrist splint - 19-May-2010 \nBody mass index 30+ - ) _ \nobesity 15-Jan-2009 \n: Biopsy has confirmed. : i o \nErythema multiforme DATE._RECORDED=16\/01\/2009 06-Jan-2009 \nO\/E - dermatology exam. reactive dermatosis . - 18-Nov-2008 \n. exacerbation of following fall - steriod and local \nTennis elbow anaesthetic Injection - 21-0ct-2008 \nErythema multiforme possible - 20-Oct-2008 \nBody mass index 30+ - \n. obesity - - 15-Apr-2008 \nMicroscopic haematuria - - 09-Jan-2007 \nDate \nrecorded \n20-Oct- \n2008 \n15-Apr- \n2008 \n09-Jan- \n2007 \n' 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