A patient with history of gout is on colchicine and steroids when he presents with an acutely painful knee. On examination the knee is swollen. On asp

Subject
Surgery
System
Rheumatology/Orthopedics & Sports

Tiffany Wong

Member
Aug 24, 2020
675
2
18
Johor
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#march2020amc1

A patient with history of gout is on colchicine and steroids when he presents with an acutely painful knee. On examination the knee is swollen. On aspiration, there are no organisms seen however the neutrophils are abundant. What is your next step in management?

A.Arthroscopy and lavage
B.Antibiotics
C.Observe and follow up
D.Allupurinol