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This Concept Map, created with IHMC CmapTools, has information related to: Ruth Degeneress D-2 the best.cmap, Rheumatoid arthritis can cause joint destruction which will present as Erythema of the patients joint, Anti-CCP are markers that indicate presence of Rheumatoid arthritis, Swan neck Deformity Pt presents with Erythema of the patients joint, IFN-Gamma increases the expression of HLA-DRB1, Fibroblast-like cells The activation of these two cells will lead to increased inflammation at the location of the Collagen, Fibroblast-like cells These cells increase synovial levels of Collagen, Non-biologic DMARD are a group of medications primarily used to treat Rheumatoid arthritis, Infliximab Is a type of Bio TNF DMARD that targets membrane bound and soluable TNF-a Biologic TNF DMARD, Rheumatoid arthritis these are possible differential diagnoses for the patient Osteoarthritis, Biologic non-TNF DMARD (CsDMARD) folic acid analogue Non-biologic DMARD, Infliximab Can be used to treat multiple forms of arthritis and RA including Osteoarthritis, Fibroblast-like cells activity increases inflammation and leads to the increased proliferation of Synovial T-helper cells, Methotrexate Can be used to treat multiple forms of arthritis and RA including Symmetrical Polyarthritis, Biologic non-TNF DMARD (CsDMARD) TNF receptor inhhibitors Etanercept, Fibroblast-like cells The activation of these two cells will lead to increased inflammation at the location of the Synovium, Lab results These labs include the specific rheumatologic factors including: Rheumatoid factor, Lab results These labs include the specific rheumatologic factors including: Anti-CCP, Etanercept Can be used to treat multiple forms of arthritis and RA including Symmetrical Polyarthritis, Macrophages The activation of these two cells will lead to increased inflammation at the location of the Synovium, Our Patient: Ruth Degeneress is a 35-year-old Caucasian female who presents to the primary care office with painful joints. This began after a previous illness last summer, and is primarily affecting her MCP joints of both hands. Vitals:Temperature - 100.4 F Pulse- 88 bpm respirations - 14rpm BP - 128/82 Height - 64 inches weight - 128lbs Pt presents with Morning Stiffness