MICA · General Practice & Urgent Care
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FICTIONAL CASE · SELF-REFLECTION WITHOUT A SCORE
A 42-year-old woman has had swollen wrists and metacarpophalangeal joints for several weeks with prolonged morning stiffness. Rheumatoid factor is negative and CRP normal. She is waiting for another blood test before rheumatology referral.
Do these results justify postponing referral?
No. Persistent synovitis and its distribution warrant prompt specialist assessment despite negative markers. Further investigations can proceed in parallel, with documentation of affected joints and functional impact. The aim is early recognition of inflammatory arthritis, not diagnosis based on one antibody alone.