While reviewing the following diagnostic findings on a group of patients with joint complaints, which finding would be a priority for further investigation and possible medical intervention?
A)
A male client has elevated levels of serum uric acid but lacks symptoms.
B)
Synovial fluid aspiration indicates the presence of monosodium urate crystals.
C)
A man reveals that he eats organ meat two to three times weekly.
D)
A 55-year-old male reveals that it takes a day or two for oral colchicines to relive his attacks of gout.
Ans:
B
Feedback:
The presence of crystalline deposits in synovial fluid confirms a diagnosis of gout and would necessitate further investigation and/or treatment. Hyperuricemia is not necessarily indicative of gout, and while diet can contribute to gout, this would not necessarily require modification in the absence of gout. Oral colchicine often takes 48 hours to take effect during an acute attack of gout.
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