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56-year-old Woman with Left Shoulder Pain, Low-grade Fevers, and Recurrent Infections

beginnerRheumatology
Age: 56   Gender: female   Occupation: retired school teacher
Chief Complaint: I've been having pain in my left shoulder for a few weeks, keep getting fevers, and I keep catching colds.
82kg162cmBMI 31.2
Time
01:55
HR
92
BP
134/78
RR
16
Temp
37.9°C
SpO₂
97%
Have you noticed any changes in your vision, such as blurring or double vision?
3:47:48 AM
No, I haven't noticed any changes in my vision. No blurring, double vision, or anything like that. My eyes seem about the same as usual.
3:47:50 AM
Regarding the recurrent infections, what specific symptoms have you had? (e.g., cough, burning urine, skin infections).
3:48:04 AM
It's mostly been coughs and colds—like sore throat, runny nose, and some mild cough every few weeks. I've also felt a bit more tired than usual when I get these. I haven't had any burning when I pee, and I haven't noticed any skin infections or rashes. It just feels like I keep catching every bug that comes around, and I can't seem to shake them off as quickly as I used to.
3:48:07 AM
Have you noticed any unintentional weight loss or night sweats?
3:48:30 AM
I haven't really lost any weight on purpose, but my clothes do feel a little looser lately—maybe a few pounds, but nothing drastic. As for night sweats, I do get them sometimes, but not every night. I'll wake up feeling sweaty, especially on the nights when I have a fever. It's not soaking the sheets or anything, but it is uncomfortable.
3:48:33 AM
18 questions remaining

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