Is this a record

A 64 year old male bus driver presented to the rheumatology clinic with a six month history of bilateral painful swollen knees. On further questioning, he admitted to hand arthralgia when gripping tightly but no other locomotor complaint. He had a history of orchidectomy for benign disease and controlled hypertension. His general practitioner reported normal serum urate levels, raised erythrocyte sedimentation rate (ESR), and radiological evidence of mild osteoarthritis in …