Recent Question

(M2.RH.73) A 64-year-old male presents to his primary care physician with a chief complaint of left knee pain. He describes acute-onset knee pain last evening that was accompanied by redness of the skin around the joint. He denies any precipitating injury or recent activity that could have caused this pain. He describes a similar episode that occurred in his right knee 2 months ago; he did not seek medical treatment, and the pain mitigated after 5 days. Physical examination is significant for the following: left knee is warm-to-touch, erythematous, and extremely tender to palpation; range of motion in flexion and extension is limited by pain; crepitus noted with passive movement of the knee joint. The patient is noted to be afebrile with all vital signs within normal limits. Aspiration of the left knee joint is ordered and reveals the findings shown in Figure A. Which of the following findings could also be seen in this patient, associated with their current diagnosis? Topic Review Topic
FIGURES:   A          

1. Decreased serum calcium levels and elevated phosphate levels
2. Autoimmune destruction of pancreatic islet cells and elevated blood glucose levels
3. Insulin insensitivity and elevated blood glucose levels
4. Bronzing of the skin and elevated blood glucose levels
5. Kayser-Fleischer rings and decreased serum ceruloplasmin

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