A 40-year-old male complains of exquisite pain and tenderness over the left ankle. There is no history of trauma. The patient is taking a mild diuretic for hypeension. On exam, the ankle is very swollen and tender. There are no other physical exam abnormalities. The next step in management is

Question

Accepted Answer

Begin Colchicine and broad-spectrum antibiotics

Answer

Obtain uric acid level and perform ahrocentesis

Answer

Begin allopurinol if uric acid level is elevated

Answer

Obtain ankle x-ray to rule out fracture

A 40-year-old male complains of exquisite pain and tenderness over the left ankle. There is no history of trauma. The patient is taking a mild diuretic for hypeension. On exam, the ankle is very swollen and tender. There are no other physical exam abnormalities. The next step in management is

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