]> 2026-07-31T09:39:51+00:00 WBR0239 0 en Arthrocentesis '''Incorrect''' : The diagnosis of acute gout is most secure when supported by visualization of urate crystals by experienced examiners in a sample of fluid aspirated from an affected joint (or bursa). Serum uric acid levels X ray of the great toe Cochicine NSAIDs Emergency Room A 56 year old man comes to the emergency department with severe pain in the right great toe. He says that this is the first time he is experiencing such a severe pain and it started suddenly when he woke up from his bed this morning. He is a chronic alcoholic and smokes 2 packs of cigarette a day. He denies any trauma to his leg. On examination, his right toe is swollen, erythematous and he did not allow touching because of severe pain. What is the most appropriate line of management? E Musculoskeletal/Rheumatology 2020-10-27T23:52:10Z 2459150.4945602 WBR0239