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Medicine
A 65-year-old man develops the onset of severe right knee pain over 24 hours. The knee is red, swollen, and tender. The patient does not have fever or systemic symptoms; he has never had severe joint pain before. Plain film of the knee shows linear calcification of the articular cartilage without destructive change. Definitive diagnosis is best made by which of the following?
Serum uric acid
Serum calcium
Arthrocentesis and identification of positively birefringent rhomboid crystals
Rheumatoid factor
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