1

Look

Muscle wasting

Present = 1

Absent = 2

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Deformity

Present = 1

Absent = 2

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If deformity, which joint

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Swollen joint count

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2

Feel

Tender joint count

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Grade of tenderness

Gr 1/4 = 1

Gr 2/4 = 2

Gr 3/4 = 3

Gr 4/4 = 4

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Enthesitis

Present = 1

Absent = 2

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Gait

Normal = 1

Abnormal = 2

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