18th January 2024

A 55-year-old retired kitchen worker has attended the outpatients Rheumatology clinic with worsening joint pains over the last 2 years.

A 55-year-old retired kitchen worker has attended the outpatients Rheumatology clinic with worsening joint pains over the last 2 years. Her shoulders, knees and feet are all affected, but her hands are causing her the greatest distress. She describes her joints to be stiff and in pain at all times, but worst after long shifts in the kitchen. Which of the following findings would you least expect to see in this patient?

Select the SINGLE most appropriate option from the list below. Select ONE option only.