A 26-year-old man presents with a migratory arthritis. He has red eyes. On examination you also note defects in the skin on his hands, the soles of his feet and ulcers in his mouth.

A 36-year-old woman presents with joint pains thought her body. You note that she has a degree of onycholysis.

A 42-year-old woman presents with painful writs in both arms. You note that her hands exhibit an ulna deviation and there is bilateral swelling of the proximal interphalangeal joints. She works as a shop assistant in a perfume store. She has had these symptoms for 12 weeks now.

A 51-year-old man presents with a swollen, erythematous and painful knee. He is unable to weight-bear on the joint. His temperature is 38.0 oC.

A 48-year-old man presents with a painful great toe. His toe is red and his temperature is 37.2 oC.

A 66-year-old woman present to you. You note that she has a pronounced forehead. And obvious valgus deformity to her knees. You have to repeat your questions several times during the consultation to ensure the lady can hear you.

A 55-year-old lady previously diagnosed with rheumatoid arthritis complains to you about gritty sore eyes and a difficulty in swallowing. On examination you note that her eyes are reddened and her mouth is dry. Her temperature is 37.3 oC.

46-year-old male hospital porter presents to you with a painful right hip. He complains that his hip is becomes increasingly painful as the day progresses. He has been taking NSAIDs to ease the pain. His body mass index is 32. He tells you that these symptoms have been getting worse over the last few months.

A 73-year-old woman presents to you with a broken wrist following a fall. She tells you that she broke her other wrist about a year ago also following a fall. You note that she has a reduced cervical lordosis and increased thoracic kyphosis.