sprint123
Forum Guru
Topics: 129
Posts: 870
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72. A 40-year-old male complains of exquisite pain and tenderness over
the left ankle. There is no history of trauma. The patient is taking a mild
diuretic for hypertension. On exam, the ankle is very swollen and tender.
There are no other physical exam abnormalities. The next step in management
is
a. Begin colchicine and broad-spectrum antibiotics
b. Obtain uric acid level and perform arthrocentesis
c. Begin allopurinol if uric acid level is elevated
d. Obtain ankle x-ray to rule out fracture
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| nadiabarati
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d
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| doc_clotaire
Forum Guru
Topics: 159
Posts: 1,265
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Seems like GOUT ( px is taking most likely taking thiazide ...........increase uric acid .......gout
NSIM ...............B ( neg birefringent needle shaped crystals )
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| new_n_lost
Forum Hero
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c. Begin allopurinol if uric acid level is elevated
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| sprint123
Forum Guru
Topics: 129
Posts: 870
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Interesating...3 different answers..Anyone want to try still?! or else those who tried want to change?!
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| Aashi
Forum Moderator
Topics: 113
Posts: 1,061
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b. Obtain uric acid level and perform arthrocentesis
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"Obstacles are those frightful things you see when you take your EYES off your goal."
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| mytime
Go Marching in!
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B
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| Justice
Forum Fanatic
Topics: 117
Posts: 2,324
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(B) from me
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| sprint123
Forum Guru
Topics: 129
Posts: 870
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Yeah..It is B.
Take home message : First confirm the diagnosis and then treat for gout
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