Question

A 58-year-old man with CKD stage 3 presents with an acutely painful, swollen first metatarsophalangeal joint. Joint aspiration shows needle-shaped, negatively birefringent crystals. What is the most appropriate acute treatment?

Accepted Answer

Colchicine with dose adjustment for renal function

Answer

High-dose NSAIDs

Answer

Intra-articular corticosteroid injection

Answer

Allopurinol initiation during the acute attack

Answer

Antibiotics for presumed septic arthritis

Practice question

A 58-year-old man with CKD stage 3 presents with an acutely painful, swollen first metatarsophalangeal joint. Joint aspiration shows needle-shaped, negatively birefringent crystals. What is the most appropriate acute treatment?