Chief Complaint: Pain & Swelling in Fingers
Medical History: Patient is a 31 year-old female. She has been a hairdresser for 12 years and uses her hands extensively in her work. She wakes up each morning with bilateral pain, stiffness and swelling in her metacarpophalangeal joints, especially 3rd & 5th fingers. This has occurred for the last 4 years and gets worse with cold weather. Patient is concerned because the pain is affecting her work performance and potential livelihood.