Nursing Question

A 32-year-old nurse presents to your office with a chief complaint of intermittent episodes of pain, stiffness, and swelling in both hands and wrists for approximately one year. The episodes last for several weeks and then resolved. More recently she noticed some of the symptoms in her knees and ankles. Joint pain and stiffness are make it harder for her to get out of bed in the morning and are interfering with her ability to perform work duties at work. The joint stiffness usually last for several hours Before improving. She also reports malaise and easy fatigability for the past few months, but she denies having fever, chills, skin, rashes, and weight loss.

What is the problem with diagnosis?

What are all the possible diagnosis?

At this stage of the case study, what diagnostic studies and basic treatments are most appropriate to order and why ?

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