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Case #158Outpatient

Sudden Severe Pain and Swelling in the Big Toe

Sudden Severe Pain and Swelling in the Big Toe
At a glance
HR 88 bpm BP 148/92 SpO2 98% Serum Uric Acid: 9.8 mg/dL (Hyperuricemia)

"58M with podagra, joint swelling & hyperuricemia 9.8 mg/dL."

Patient History

A 58-year-old Male Bank Manager presents with extremely painful swelling at the base of my right big toe since last night. I cannot even put a bedsheet over it. The pain woke me up from sleep.

Clinical Examination & Labs

It started suddenly around 2 AM last night. I went to bed feeling fine after a dinner party.

Diagnostic Management Pathway

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