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77-Year-Old Man With a Painful Left Knee, Anemia, and Renal Insufficiency

      A 77-year-old man presented to a community emergency department with acute left knee pain and swelling 1 day after a minor fall from his truck. Radiography of the knee did not detect fracture. Because of increasing pain, swelling, and erythema, he presented 3 days later to a community orthopedist for further evaluation. He had no systemic symptoms of fever and chills and no history of gout, pseudogout, or knee operation.
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