Sinivitis: A Challenge for Rheumatologists

The patient specifically was saying joint pain and the knees and hands and maybe there's some morning stiffness. The physical examination can be a challenge even for a rheumatologist. If I feel my own joints and then feel the patience and there's a little bit of a sponginess or give to it, that's like sort of exactly. Now you're looking at an ESR CRP that would be potentially assess inflammation and get potential anti-rheumatoid factor.