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An 85-year-old man has had episodes of pain and decreasing joint motion of wrists, elbows, shoulders, and ankles for weeks at a time during the past 2 years. On physical examination there is no joint deformity or swelling, but there is warmth. A joint aspirate is performed. Which of the following findings is most likely to be seen on microscopic examination of this aspirate?
Based on this vignette, I was debating between gout and pseudo gout. The answer was pseudo gout, why not gout?
Based on this vignette, I was debating between gout and pseudo gout. The answer was pseudo gout, why not gout?