Q:

An elderly man with recently diagnosed HF (heart failure) has been treated with diuretics. He now develops severe joint pain in his left ankle with swelling and redness. What is single most likely investigatin?

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An elderly man with recently diagnosed HF (heart failure) has been treated with diuretics. He now develops severe joint pain in his left ankle with swelling and redness. What is single most likely investigatin?


  1. XR of bone
  2. Plasma RF
  3. Joint fluid uric acid crystals
  4. ESR

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The key is C. Joint fluid uric acid crystals. [Thiazide diuretics may increase uric acid levels in blood causing or precipitating gout and joint fluid may show uric acid crystals].

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