What Is the Most Likely Diagnosis for Mrs. Santos Based on the Given Information

Mrs. Santos, a 45-year-old Female, Presents to the Clinic with Complaints of Joint Pain, Swelling and Stiffness in Her Hands and Feet. She Also Mentions Experiencing Fatigue and Occasional Fever. Upon Physical Examination, the Nurse Notes Symmetrical Joint Swelling and Tenderness. Laboratory Results Reveal Elevated Levels of Rheumatoid Factor and Anti-cyclic Citrullinated Peptide (Anti-ccp) Antibodies