40. Patient LW (female, 68 years old) comes to your commu…
40. Patient LW (female, 68 years old) comes to your community pharmacy asking for advice on her painful hands. Upon further questioning you determine that they have a history of five painful joints, primarily some of the distal interphalangeal (DIP) and proximal interphalangeal (PIP) joints of both hands. They also describe stiffness in these joints, which is worse in the morning. On observation the joints are hot, red, and swollen. These issues started about 12 months ago and have been gradually getting worse. They have no other significant past medical history and no known drug allergies. Which differential diagnosis is MOST LIKELY?
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