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Cases

A hot, swollen knee

A 62-year-old on a diuretic wakes unable to weight-bear on a knee that was fine at midnight.

62-year-old manED, bay 4Fictitious educational patient
HypertensionCKD (baseline Cr 150)On hydrochlorothiazide

Day 0 · 08:20

Arrival

The knee is swollen, hot, and exquisitely tender; he holds it in slight flexion and will not let the triage nurse straighten it. He feels feverish. No injury, no skin break he knows of.

Vitals

HR92BP146/84RR16SpO297%T37.9

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