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Surgery
A. 68-year-old man presents with an acutely red and swollen right great toe with out history of trauma. Which of the following findings is most useful for making a diagnosis of gout in this patient?
Persistent elevation of serum uric acid
Good response to colchicine trial
Radiograph showing marginal joint erosion in the first metatarsophalangeal (MTP) joint
An associated right ankle effusion
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