A patient presents to a physician because of a markedly inflamed and painful great toe. Physical examination additionally demonstrates small nodules on the patient’s external ear. Aspiration of the metatarsal-phalangeal joint of the affected toe demonstrates needle-shaped, negatively birefringent crystals. Of which of the following are the crystals most likely composed?
A patient presents to a physician because of a markedly inflamed and painful great toe. Physical examination additionally demonstrates small nodules on the patient’s external ear. Aspiration of the metatarsal-phalangeal joint of the affected toe demonstrates needle-shaped, negatively birefringent crystals. Of which of the following are the crystals most likely composed?
💡 Explanation
A patient presents to a physician because of a markedly inflamed and painful great toe. Physical examination additionally demonstrates small nodules on the patient's external ear. Aspiration of the metatarsal-phalangeal joint of the affected toe demonstrates needle-shaped, negatively birefringent crystals. Of which of the following are the crystals most likely composed?
✓ Correct Answer: D. Monosodium urate
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