Conversation: The conversation between human and AI assistant.
[|Human|] I m a 47 year old female,I was diagnosed with rheumatoid arthritis in 2012.About 6 months agoI began having problems extending my right arm.I do have an old injury,I broke this arm in 4 different places at age 7.Today I noticed a lump in the crease of the inner part of the same arm. What is going on,this is really beginning to frighten me.
[|AI|]  Hello, I have studied your case with diligence. RA may lead to osteoporosis. Lump can be rheumatoid nodule leading to inflammation. Check your bone strength with DEXA SCAN and you can start medication according to level of osteoporosis, You need to start supplement of calcium with vitamin D, it B12, I will advise you to do regular physiotherapy and exercises as my patients find much relief by these therapies. You need to take diet rich in calcium and vitamin D. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care