A72-year-old female presents with a several month history of symmetric pain to the hands, wrists, and feet. she also is noticing a change to the appearance of the joints of the hands and feet, with a more “nobby” appearance than before. when the patient wakes up in the morning, the joints are particularly stiff and red at times. out of all the areas that are painful, it is the hands that are the most painful. based on this history, what physical exam findings would you expect to find on the hands that are classic findings of this disease?