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Motor Neuron Disease
Multiple Sclerosis
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Psoriasis
Rheumatoid Arthritis
Systemc Sclerosis
Acromegaly
Cushing's Disease
Goitre
Thyroid Status
Clubbing
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Rheumatoid Arthritis

Incidental findings Cushingoid (steroid usage)
Signs Symmetrical deforming polyarthropathy, swelling MCP, PIP, wasting small muscles, ulnar deviation fingers, boutonierre, swan neck, Z thumb, nail fold infarcts, nodules
Differential diagnosis RA, Psoriasis
Tests FBC - anaemia, hypersplenism
LFTs - methotrexate s/e
RF

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