A  23-year-old female patient is experiencing joint pain in…

A  23-year-old female patient is experiencing joint pain in her fingers, wrists, and toes. The symptoms are bilateral (on both sides).   Other signs and symptoms include the following:   -Fatigue – Swelling (edema) in the digits (fingers and toes)  – Stiffness upon waking that lasts approximately 2 hours. – Patient can extend and flex the wrists and the fingers, but range of motion is limited by pain.   What do you predict is the diagnosis, what tissue is affected, and what should be the next step?  Select the best answer.