Bedside
Rounds

Case #151Orthopedics

Acutely Swollen, Red, Hot Knee in a Diabetic Labourer

Acutely Swollen, Red, Hot Knee in a Diabetic Labourer
At a glance
HR 104 bpm BP 142/88 SpO2 97% Synovial Fluid Analysis: WBC 78,000/μL, 95% neutrophils, Gram-positive cocci in clusters

"45M with severe right knee pain & joint effusion."

Patient History

A 45-year-old male construction labourer presents with severe right knee pain and swelling for 3 days. About 3 days ago he noticed his right knee was feeling stiff and achy after work.

Clinical Examination & Labs

By the next morning it was swollen and very painful.

Diagnostic Management Pathway

Select the optimal evidence-based clinical intervention for this case:

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