Presenting with swollen-painful-red left knee

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Patient is a 44 year old male presenting with swollen, painful, red left knee for 2 days. Reports he is unable to bear weight on that leg. He is now also having toe pain. Symptoms started after the weekend when he attended a BBQ where he had 4 beers with his meal. He denies fever, rash or injury. BMI is 32. History of HTN, takes Hydrochlorothiazide, and works as a floor installer. Aspiration of synovial fluid: Monosodium urate (MSU) crystals positive.

Reference no: EM133868009

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