Non healed fractures with superimposed gout
Non healed fractures of the lateral tibia and femur with impaction. Bone reactive change, synovitis and probable erosions. Phone call was made to referring doc who was surprised to hear about the fractures saying. “well that explains his ongoing pain”. I said, “I think he has a septic joint”. Referring doc said, No he has tested negative twice after being tapped. I said then maybe something weird like gout? He said, “Well I am a rheumatologist and his uric acid is sky high”.
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