A patient 53 year old suffer of chronic obstructive lung disease for
about 10 years. He recently develops an episode of aching in the distal
extremities in both wrists.There is a 10-lb weight loss. The skin over
the wrists is warm and erythematous. Plain film is shows periosteal
thickening.What should you do?
a. Start ciprofloxacin
b. Chest x-ray
c. Aspirate both wrists
d. Begin gold therapy
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