Question

A 32-year-old man presents with an acutely swollen, hot and very painful knee joint. He is febrile at 38.9°C and cannot bear weight. What is the most appropriate next step?

Accepted Answer

Arrange urgent joint aspiration and intravenous antibiotics

Answer

Start oral NSAIDs and review in a week

Answer

Start Allopurinol

Answer

Give intra-articular steroid injection without aspiration

Answer

Provide a knee brace and discharge

Practice question

A 32-year-old man presents with an acutely swollen, hot and very painful knee joint. He is febrile at 38.9°C and cannot bear weight. What is the most appropriate next step?