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 Best of Five 24

 

   

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BOF: 24

A 45-year-old male presents with a sudden onset of pain and swelling of the metatarso-phalangeal joint of the right big toe.

In this patient

a)      A normal serum uric acid concentration excludes the diagnosis of gout

b)      The x-ray changes would be characteristic

c)      Synovial fluid analysis should be delayed to allow crystals to aggregate and become easier to visualise

d)      Fever, leucocytosis and elevated ESR would suggest septic arthritis

e)      The first attack is seldom associated with residual disability

 

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