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2707 Medicine

A 40-year-old male complains of exquisite pain and tenderness over the left ankle. There is no history of trauma. The patient is taking a mild diuretic for hypeension. On exam, the ankle is very swollen and tender. There are no other physical exam abnormalities. The next step in management is

ABegin Colchicine and broad-spectrum antibiotics
BObtain uric acid level and perform ahrocentesis
CBegin allopurinol if uric acid level is elevated
DObtain ankle x-ray to rule out fracture
Medicine
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