Early a normal eam and subthe swelling in the McPs, or MTTs The Men or MTP e signi create dramatic Pain 3. Joint enlargement due to synovial thickering 4 Loss of joint mobility toes,and so forth 5 Deformity ulnar d sublination, hammer(1) The earliest findings in RA may be so subtle or so evanescent(depending on the time of day) as to escape detection by eaminer Q As the oondition advances swelling appears Squeezing the MCPs or MT's Hogether from side to side is a useful, quick screening sign for hand and foot involvement B) otherwise individual joints