Answer :
Final answer:
The patient has Bouchard nodes and Heberden's nodes, which indicate osteoarthritis.
Explanation:
The arthritic changes that the patient has are Bouchard nodes and Heberden's nodes. Bouchard nodes are bony enlargements that occur at the proximal interphalangeal joints of the fingers, while Heberden's nodes are bony enlargements that occur at the distal interphalangeal joints of the fingers. Both conditions are commonly seen in osteoarthritis, which is a degenerative joint disease.
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