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Problem: A 57-year-old female has had joint pain for four years. Her joints have become progressively deformed with swelling. Her doctor orders a synovial fluid analysis, protein, glucose, LD, serum glucose level, serum RF, and fluid crystal analysis. Her results are as follows: Synovial Fluid Chemistry: Protein: 3.7 g/dL Glucose: 81 mg/dL LD: 100 mg/dL Rheumatoid Factor: Positive Crystals: None seen Serum Chemistry: Glucose: 100 mg/dL (ratio 0.81 fluid: 1.0 serum) Rheumatoid Factor: Positive 1. What do these results suggest that the patient has AND give reasons to support your answer?
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