A 62-year-old man presents with an acutely painful, swollen right knee that is warm and tender. He is febrile at 38.2 degrees Celsius and unable to be...

Question

A 62-year-old man presents with an acutely painful, swollen right knee that is warm and tender. He is febrile at 38.2 degrees Celsius and unable to bear weight. What is the most appropriate immediate investigation or management?

Accepted Answer

Arrange urgent joint aspiration for microscopy, Gram stain and culture

Answer

Prescribe oral NSAIDs and review in 1 week

Answer

Order a routine rheumatology outpatient referral for suspected gout

Answer

Start oral Allopurinol immediately

Answer

Send serum urate level and await the result before acting

uk-plab-1 MCQ (SBA): Septic arthritis

A 62-year-old man presents with an acutely painful, swollen right knee that is warm and tender. He is febrile at 38.2 degrees Celsius and unable to bear weight. What is the most appropriate immediate investigation or management?