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Surgery
A 48-year-old man complains of joint pain and stiffness for the past three months. All of the following are evidence of the diagnosis of rheumatoid ahritis (RA), EXCEPT:
Early morning stiffness lasting one hour
Numbness and blanching of fingers on exposure to cold
Symmetrica linvolvement of the metacarpophalangeal joints
Synol fluid with high viscosity and 30,000 lymphocytes/mm3
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