An 81-year-old man, being treated for an exacerbation of congestive cardiac failure with diuretics, develops a painful, erythematous and swollen distal interphalangeal joint. | Medibuddy
24th February 2025

An 81-year-old man, being treated for an exacerbation of congestive cardiac failure with diuretics, develops a painful, erythematous and swollen distal interphalangeal joint.

An 81-year-old man, being treated for an exacerbation of congestive cardiac failure with diuretics, develops a painful, erythematous and swollen distal interphalangeal joint. A needle aspiration is performed for microscopy to reach a diagnosis. Match the crystal birefringence and shape to the different crystal arthropathy.

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