Learning scenario 1
Learning scenario
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What do you advise?
Diagnose pseudogout due to the absence of tophi
INCORRECT. Tophi are not always present in gout and pseudogout can only be distinguished from actual gout by microscopic analysis of any crystals present in the synovial fluid of the affected joint.
Diagnose septic arthritis. Advise Pete to seek urgent medical advice
INCORRECT. This is unlikely as there are no systemic symptoms.
Diagnose cellulitis. Make Pete an appointment to get a prescription for antibiotics
INCORRECT. Cellulitis usually presents with systemic as well as local symptoms.
Diagnose gout. Sell Pete some ibuprofen and advise him to rest and ice the foot
CORRECT. The symptoms indicate gout and a NSAID plus rest and ice will help alleviate the pain – but Pete also needs to see his GP to have a full assessment.