Nan is a 28-year-old woman in your practice who presents wit…

Nan is a 28-year-old woman in your practice who presents with bilateral hand stiffness and pain, fatigue that lasts all day, and intermittent ankle pain.  You suspect she has rheumatoid arthritis. You order a CBC, CMP, ESR, anti-ccp and bilateral hand x-rays to not only confirm your diagnosis, but to obtain baseline for therapy.  Which results are most indicative of a rheumatoid arthritis?

Donna Smith is a 35-year-old female who presents to clinic w…

Donna Smith is a 35-year-old female who presents to clinic with chronic aching pain in the cervical and thoracic spine, disturbed sleep, generalized fatigue and frequent headaches. On examination, you find no evidence of joint swelling, warmth or deformity. However, you find numerous tender points over her back and upper extremities. The most likely diagnosis is: