Year Woman Presents Explained for Students (Easy Guide)

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Original Question

A 75-year-old woman presents to the clinic with a newly swollen right knee. She denies any fevers, night sweats, or other constitutional symptoms. She does not have any toe, foot, or ankle pain or swelling. She has never had a similar episode previously. She has a history of osteoarthritis and underwent a left total hip arthroplasty 5 years ago. On examination, her right knee is warm with a moderate size effusion and tender to palpation. Labora- tory studies show a uric acid level of 5.2 mg/dL (normal). A radiograph of the knee shows a linear radiodensity in the joint space consistent with chondrocalcinosis. What is the most likely diagnosis? سؤال 9 الإجابة a. Calcium pyrophosphate arthritis (pseudogout) b. Gout c. Rheumatoid arthritis d. Septic arthritis

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