What will exacerbate this patient’s condition?

A 70-year-old male with a history of hypertension presents with a fever and severe pain in both his hands. Examination reveals swollen, erythematous, and tender nodules on the joints of his fingers. Arthrocentesis demonstrates negatively birefringent urate crystals in the synovial fluid. Which of the following is most likely to exacerbate this patient’s condition?
A. ACE Inhibitors
B. Beta Blockers
C. Calcium Supplements
D. Thiazide Diuretics

Find the answer, discuss this case, and more on Figure 1.

Explore cases, quiz yourself, and solve medical mysteries along with thousands of other medical professionals around the world on Figure 1, the free app where doctors expand their clinical knowledge.

Christy Crisologo

    Christy Crisologo is SDN’s Editor-in-Chief. She earned her BA in Communications from Asbury University and lives in Texas with her husband (and primary connection to the medical world) and their two young children. 

    Christy Crisologo has 148 posts and counting. See all posts by Christy Crisologo