History of gout and left knee osteoarthritis

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Reference no: EM133761074

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A 62-year-old man presents to the emergency department with chest pain and shortness of breath for 2 days. He has a history of gout and left knee osteoarthritis, for which he uses meloxicam and allopurinol. Vital signs today include a BP of 136/92 mm Hg, HR of 112 bpm, RR of 20/minute, SpO2 of 94% on room air, and T of 99.8°F. Physical examination reveals no adventitious breath sounds on auscultation, regular heart rhythm, a soft and nontender abdomen, and swelling of the left calf. Chest radiograph reveals an isolated pleural effusion. what diagnoses is most likely?

Reference no: EM133761074

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