Calcium pyrophosphate deposition disease (pseudogout) Quiz: Ace Your Exams
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A 52-year-old woman comes to the PA complaining of severe pain in the left knee. She reports that it has been painful, warm, and red over the past day. She states that a similar episode occurred several months ago in her right big toe, which resolved spontaneously without treatment. She has not had any fevers, recent joint trauma, or weight loss. Past medical history is significant for hypertension and type 2 diabetes mellitus. She is currently on hydrochlorothiazide, metformin, and pravastatin. Temperature is 37.2°C (99.0°F), pulse is 88/min, respirations are 12/min, and blood pressure is 138/95 mmHg. Physical examination reveals swelling, erythema, and warmth of the left knee joint. It is tender to palpation with decreased active and passive range of motion. The patient subsequently undergoes aspiration of the joint. Which of the following is most likely to be found on further evaluation of this joint aspirate?
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