Question

A 70-year-old woman with a prosthetic knee joint presents with acute onset of a hot, swollen knee and severe pain on movement. She is febrile at 38.9°C. What is the most appropriate immediate management?

Accepted Answer

Urgent joint aspiration and intravenous antibiotics

Answer

Start oral NSAIDs and review in 1 week

Answer

Start long-term Allopurinol

Answer

Intra-articular steroid injection in the clinic

Answer

Discharge with physiotherapy referral

Practice question

A 70-year-old woman with a prosthetic knee joint presents with acute onset of a hot, swollen knee and severe pain on movement. She is febrile at 38.9°C. What is the most appropriate immediate management?