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A 38-year-old female has an 8-year history of knee pain. She had an MRI showing a partial tear of a meniscus. She declined surgery and has multiple other joint complaints. The patient emigrated from the Philippines 5 years ago and had problems in cold weather, difficulty sleeping, and moderate depressive symptoms. Other complaints include dry mouth and fatigue. She denies rashes or eye pain. Labs from the show an ANA at 1:80 in a speckled pattern and an erythrocyte sedimentation rate of 25 millimeters/hour. Which physical finding suggests inflammatory arthritis?

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Adult Lab Normals
Pediatric Lab Normals