A 66-Year-Old Man Is Admitted to the Hospital for Left

A 66-year-old man is admitted to the hospital for left lower quadrant abdominal pain, fever, and vomiting.  CT scan of the abdomen reveals diverticulitis.  The patient is started on supportive care and antibiotics.  His symptoms improve over 2 days; however, on the third day of hospitalization he reports acute pain in the right ankle, which becomes "unbearable" within a few hours.  The patient had a similar pain 1 year ago that resolved with over-the-counter medication.  Medical history is notable for type 2 diabetes, hyperlipidemia, and hypertension.  His temperature is 37.1 C (98.8 F) , blood pressure is 140/90 mm Hg, and pulse is 98/min.  BMI is 36 kg/m².  Examination shows a swollen, erythematous right ankle with moderate restriction of movement due to pain; the left ankle is normal.  Both ankles were normal at the time of admission to the hospital.  Which of the following is the most likely diagnosis?

A) Enteropathic arthritis
B) Gout
C) Neuropathic joint
D) Osteoarthritis
E) Psoriatic arthritis
F) Rheumatoid arthritis
G) Septic arthritis

Correct Answer:

Verified

Unlock this answer now
Get Access to more Verified Answers free of charge

Access For Free