A 40 year male having multiple joint involvement, PIP ,wrist , right shoulder, knee joint He has presentation of migratory arthritis. On physical examination he has subcutaneous nodules (painless & non tender) on both forearm since 3 years. He is suffering from pain & tenderness in joints. Assymetric joint involvement. On asking he said his R.A FACTOR was Negative. What should be the next line of investigations. & DDx ?
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Top Contribution
Dr. Ramesh Kumar Singh
General Medicine Specialist
· Dhanbad
Ask for URIC ACID, CRP , D-DIMMER, ASO TITER , T3T4TSH
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