Transcribing operative note. Pre-op diagnosis
Hi there. It appears you have arthritis of the wrist and shoulder problem. The arthritis needs to be treated according to the cause. If it is Rheumatoid, it needs to be treated with Methotrexate and Sulfasalazine. If it is Gout, it needs Allopurinol. If it is Osteoarthritis, steroids can benefit. The shoulder problem may require arthroscopic sub-acromial decompression to relieve you of the symptoms.