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Consultant. Vol. 42 No. 14 THE CASE:
By DAVID EFFRON, MD—Series Editor |
December 1, 2002
Dr Effron is assistant professor of surgery at Case Western Reserve University, attending physician in
the department of emergency medicine at the MetroHealth Medical Center,
and consultant emergency physician at the Cleveland Clinic Foundation, all in Cleveland.
 THE CASE: A 50-year-old man presents to your office with severe discomfort in the great toe that began 24 hours earlier. He denies any trauma but says that he may have had similar symptoms many years before. He has no recent history of fever or illness. You aspirate fluid from the first metatarsophalangeal joint for analysis. Which of the following conditions in the differential do you suspect?
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