A 20-year-old female college student presents with fever and a painful left knee for the last 3 days. She denies any recent trauma and was treated last week for a urinary tract infection. Her vital signs are T 38.8°C, HR 112 beats/min, RR 24 breaths/min, BP 78/42 mm Hg, and O2 saturation 98% on RA. Physical examination reveals a swollen and erythematous knee with decreased range of motion. Joint aspiration demonstrates white blood cell (WBC) 20,000, with 80% neutrophils and calcium pyrophosphate crystals, and no organism are seen on gram stain. In addition to fluid administration, which of the following interventions is most appropriate?
A. No further treatment warranted Wrong Choice!
B. Administer vancomycin and ceftriaxone Correct Choice
C. Administer intra-articular glucocorticoids Wrong Choice!
D. Administer indomethacin Wrong Choice!
Answer:B
A 20-year-old female college student presents with fever and a painful left knee for the last 3 days. She denies any recent trauma and was treated last week for a urinary tract infection. Her vital signs are T 38.8°C, HR 112 beats/min, RR 24 breaths/min, BP 78/42 mm Hg, and O2 saturation 98% on RA. Physical examination reveals a swollen and erythematous knee with decreased range of motion. Joint aspiration demonstrates white blood cell (WBC) 20,000, with 80% neutrophils and calcium pyrophosphate crystals, and no organism are seen on gram stain. In addition to fluid administration, which of the following interventions is most appropriate?
A. No further treatment warranted Wrong Choice! B. Administer vancomycin and ceftriaxone Correct Choice C. Administer intra-articular glucocorticoids Wrong Choice! D. Administer indomethacin Wrong Choice!