Question

A 50-year-old man has sudden onset of excruciating pain in the first metatarsophalangeal joint, which is red, swollen, and tender. Joint aspiration reveals needle-shaped negatively birefringent crystals. What is the most likely diagnosis?

Accepted Answer

Gout

Answer

Pseudogout

Answer

Septic arthritis

Answer

Rheumatoid arthritis

Answer

Osteoarthritis

Practice question

A 50-year-old man has sudden onset of excruciating pain in the first metatarsophalangeal joint, which is red, swollen, and tender. Joint aspiration reveals needle-shaped negatively birefringent crystals. What is the most likely diagnosis?