Test Your Knowledge of Managing Acute Joint Pain in Urgent Care (Postscript 2 of 2)

Evidence-Based Urgent Care Postscript
Diagnosis and Management of Acute Joint Pain for the
Urgent Care Clinician | December 2023

A 25-year-old previously healthy man presents to urgent care with sudden-onset swelling and severe pain in his left big toe. The symptoms started the previous day and have progressively worsened. He denies any recent injury. His vital signs are normal. He has no known drug allergies or comorbidities. On exam, there is pronounced swelling, erythema, and exquisite tenderness over the metatarsophalangeal joint of his left big toe. He admits to eating fast food almost daily and occasional binge drinking, including on the previous weekend. An x-ray of the left foot shows soft-tissue swelling around the big toe. Which of the following is the preferred initial treatment for this patient?

a. 1 g IM ceftriaxone

b. Oral colchicine

c. Oral NSAIDs

d. Topical corticosteroid cream

Click to see the answer

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Last Updated on December 18, 2023

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