Acute abdominal pain, fever, and chills prompted a 51-year-old man to visit his local hospital twice in one week. On both visits, a clinical and laboratory workup was negative. He then presented to a tertiary care center with worsening symptoms. His history included hypertension and tobacco and alcohol use.
Modern Medicine Cases
A 50-year-old man presents to your office with severe discomfort in the great toe that began 24 hours earlier. He denies any trauma but says that he may have had similar symptoms many years before. He has no recent history of fever or illness. You aspirate fluid from the first metatarsophalangeal joint for analysis.