knee swellling.... - harry206

[ArchivalUser]

A 77-year-old man with comes to the emergency department with left knee swelling and intense pain for 7 hours. He has a history of hypertension, treated with hydrochlorothiazide, alcohol abuse, and chronic renal insufficiency with a baseline creatinine of 3.4 mg/dL. His temperature is 37.3 C (99.2 F). Physical examination shows an erythematous, warm, tender knee. The remainder of the examination is unremarkable. You aspirate fluid from his knee and send it for evaluation. The results come back as "negatively birefringent crystals." The most appropriate management at this time is to administer

A. allopurinol


B. aspirin


C. colchicine


D. indomethacin


E. intraarticular steroids

[ArchivalUser]

E..............elderly,renal insufficiency u cannot use the drugs which causes furthrer
damage to his kidney.

[ArchivalUser]

eee...

[ArchivalUser]

gooooD

ans: E