Symmetric

Multisystem Processes & Disorders


Step 1: View Clinicals

{"ops":[{"insert":"A 41 year old woman presents with pain in the joints of both hands for 8 weeks; this was associated with morning stiffness which subsides over several hours. She has particular trouble with fine movements of the hand, mainly due to the pain.\n\nShe recalls that her left wrist was swollen and tender about 3 months ago; this resolved spontaneously.\n\nHer medical and drug histories are unremarkable.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-172_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. ACPA + Rheumatoid Factor
2. ESR & CRP
3. ANA
4. X-Rays B/L Hands & Feet

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