MCQ – 88986

Question

A 72-year-old man with only a history of hypertension on hydrochlorothiazide. He presents today with acute, excruciating knee pain. On examination, his knee is warm, mildly erythematous, swollen, and tender to the touch or passive movement. Microscopic examination of joint fluid is shown in the below figure. What is his most likely metabolic derangement?

A. Acute bacterial joint infection

B.

Acute bacterial joint infection

C.

Hyaline cartilage degeneration

D.

Uric acid overproduction

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