NBME Step 2 CK Free 120 WBC: 20,000; Crystals: needle-shaped; Gram stain: no organisms (NBME Answers)

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Retired NBME Step 2 CK Free 120 Answers

step2ck_free120/Block 1/Question#34 (reveal difficulty score)
Two days after admission to the hospital for ...
WBC: 20,000; Crystals: needle-shaped; Gram stain: no organisms 🔍 / 📺 / 🌳 / 📖
tags: rheum

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submitted by ∗bwdc(697)

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An acutely swollen painful great toe means gout (podagra). Gout is an inflammatory crystalline arthropathy. Aspiration reveals white cells and negatively-birefringent needle-shaped crystals. Pseudogout, which has rhomboid positively-birefringent crystals, more commonly affects the knee.

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