Published on Oct 16, 2020
Robbins Review Vignettes

A 55-year-old previously healthy man has had episodes of pain and swelling of the right first metatarsophalangeal (MP) joint for the past year. These flare-ups usually occur after consumption of alcohol, typically port wine (six grapes). On physical examination, there is exquisite tenderness with swelling and erythema of the right first MP joint. A joint aspiration is performed, and laboratory studies of the fluid obtained show needle-shaped crystals and many neutrophils in a small amount of fluid. Which of the following laboratory findings is most likely to be reported in this man?

  • Increased serum parathyroid hormone level
  • Elevated serum urea nitrogen level
  • Hyperuricemia
  • Markedly elevated levels of serum transaminases


Enroll to Pathology revision series and attend the Live TnD this sunday - Subscribe here today