病历_0_3_3
This dialogue appears to be a transcript of a medical consultation between a patient and a doctor. The patient, RXXX SXXXX, is seeking help for symptoms that have arisen since being diagnosed with Crohn's disease. The patient describes experiencing muscle pain, numbness in hands and feet, stiffness, and sensitivity in the skin, which the doctor notes could be related to the underlying autoimmune nature of Crohn's disease.
The doctor discusses the possibility of these symptoms being linked to Crohn's or even a rheumatological condition, suggesting a referral to a rheumatologist for further evaluation. The doctor also plans to order several lab tests, including vitamin B12, vitamin D, and thyroid function tests, along with screenings for hepatitis, to rule out other potential causes of the symptoms.
Throughout the conversation, the patient provides detailed descriptions of their symptoms, and the doctor listens attentively, making notes and offering insights into potential connections between the symptoms and Crohn's disease. The doctor concludes by scheduling a follow-up appointment for the patient to review lab results and discuss further steps.