CHEIF COMPLAINTS 40yr female farmer by occupation came with complaint of Pain in the both hips (Since 6 months) Pain in the both hands Finger joints on & off (Since 6months) HISTORY OF PRESENT ILLNES Patient was apparently alright 6months back,then she developed pain in the both hip regions which is insidious onset,gradually progressive,aggrevated on walking,getting up from sitting posture,Pain relived on taking medications. Associated with Pains in the multiple small joints of both hands on and off.No history of early morning stiffness,heel pain. PAST HISTORY Patient had history of multiple hospital admissions due to hypokalemic paralysis over past 3years 1st episode :-In 2020,Pt developed weakness of right lower limb, taken to hospital found out to be potassium low, after correction, she recovered Asymptomatic between 2nd episode :-In NOV 2021,Paraperesis,Potassium was low,Recovered after correction 3rd episode : In May 2022,Quadriparesis,Potassium was low,Intubated and conn
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