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A fatigued 40-year-old female presents to your office with malaise, pain and stiffness in her joints. While taking her medical history, you learn she has a decreased appetite and has lost weight in recent months. She tells you that her signs and symptoms are at their worst in the morning but get somewhat better throughout the day. You would expect which of these findings to be more characteristic of rheumatoid arthritis than osteoarthritis?
Pain is worse in the morning.
Degenerative joint disease is the root cause.
Heberden’s and Bouchard’s nodes are classic findings.
There is swelling of the joints but no redness or heat complaints.

 
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