Practice this case based on how you are assessed in your OSCEs, and use the relevant sections for general revision. 🤓 Doctor Instruction: You are a doctor working in family medicine. Your next patient is a 65-year-old female called Mary Poppin, presenting with restricted hand movements. Please take a history and perform an appropriate examination. Patient History: Mary Poppin, a 65-year-old female, retired. Over the last few years, you have been developing increasing difficu