Physical examination Afebrile Her right elbow, forearm, and wrist joint were swollen with tenderness Erythema and warmth were noted on her right arm. No skin eruptions or nodules were found The cardiopulmonary and abdominal findings were normal Other vital signs were within normal limitsPhysical examination ´ Afebrile ´ Her right elbow, forearm, and wrist joint were swollen with tenderness. Erythema and warmth were noted on her right arm. No skin eruptions or nodules were found. ´ The cardiopulmonary and abdominal findings were normal. ´ Other vital signs were within normal limits