What are the clinical aspects of RA?

Articular Manifestations: swelling of polyarticular small joints (PIP, MCP, wrist, MTP, TMJ but never DIP) To test swelling, touch all joints squeeze them and touch lateral edges see consistency Extra Articular manifestations (fever, chills, fatigue, anorexia, weight loss, Sicca syndrome (dry eyes and mouth), carpal tunnel syndrome (due to compression on median nerve by ACPA), pericarditis and pleural effusion) Most important is lung and eye involvement