The patient is a 53-year-old man with a history of none who presented to the emergency department with an atraumatic painful and red left big toe for 3 days. The onset was slow and gradual, and limited to the left big toe. He had never had pain or redness like this before in his toes. He denied any trauma to the joint. No significant or debilitating pain with moving the joint, however mild pain noted. He denied fever or chills, open wounds.
Priyanka Pradhan MD and Dave Murray MD
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