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Question
A 60-year-old patient presents with pain, stiffness, and swelling in the hand joints. Examination reveals tenderness and swelling of several of the DIP joints with the presence of Heberden's nodes (i.e., bony outgrowths at the distal interphalangeal [DIP] joints) in a few fingers. The patient reports stiffness in the joints that worsens after using them. What feature is more indicative of osteoarthritis (OA) rather than rheumatoid arthritis (RA) in this patient?
Soft and tender joint swelling Morning stiffness lasting for hours Symmetrical involvement of the meta carpophalangeal (MCP) and proximal interphalangeal (PIP) joints Presence of Heberden's nodes.
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