{"ops":[{"insert":"A 35 year old woman presents with intermittent back pain and stiffness for 10 years, which have progressed over time and are now debilitating, preventing her from conducting her daily household activities.\n\nThese symptoms are worst in the morning; they initially resolved over a few hours, but have become persistent now.\n\nDue to financial reasons, she has never sought medical advice, preferring to medicate herself with over-the-counter analgesics.\n\nHer medical history is otherwise unremarkable. There is no history of trauma.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-179_en.png"}},{"insert":"\n"}]}
2
Investigate
Rheumatoid Factor
{"ops":[{"insert":"The rheumatoid factor assay is negative.\n"}]}