Gout and other microcrystalline arthropathies

A 61-year-old man presents with 24 hours of severe pain, redness and swelling of his right first metatarsophalangeal joint, left ankle and right knee. He has ha…

Pre-internship · middle twist

A 68-year-old man presents with a 24-hour history of a painful, swollen right knee and is now unable to bear weight. He takes hydrochlorothiazide for hypertensi…

Clinical rotations · common

A 58-year-old man develops severe pain and swelling at the base of his right great toe overnight. He is afebrile and has no skin wound or prosthetic joint. Syno…

Clinical rotations · common

Which of the following is the first-line treatment for an acute gout attack?

Clinical rotations · common

Which of the following is the characteristic crystal found in pseudogout?

Clinical rotations · common