Bored Review: 10/22/14- Not All Hot Joints Are Created Equal

A 76-year-old male with gout, osteoarthritis, diabetes, renal failure on dialysis, and CAD presents with right knee pain for 3 days. He is really mad that the knee pain has prevented him from walking to the coffee shop for the last two days to be grumpy with the other grumpy old dudes. He complains about everything- but he doesn’t report feeling sick, no fever, or any other illness. He says that it feels like he’s got “a touch of the gout.” Exam shows normal vital signs, grumpy guy with a red, swollen, hot, tender right knee with decreased range of motion. What ever shall we do to help this guy?Answer

 

By: Andy Grock and Sally Bogoch. Source: Rivers…..

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