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April 22, 2024

A 51-year-old comes to you with acute pain and swelling of the knee. Joint fluid analysis confirms the diagnosis of acute gout.

A 51-year-old comes to you with acute pain and swelling of the knee. Joint fluid analysis confirms the diagnosis of acute gout. She has a past medical history of atrial fibrillation, hypothyroidism, hypertension, and prior treatment for H. pylori infection. Her current medications include losartan, warfarin, levothyroxine, and omeprazole. She is allergic to penicillin medications. Recent laboratory studies revealed normal hemoglobin and hematocrit, blood urea nitrogen, and creatinine levels. Which of the following information from her history would dissuade you from initiating NSAID therapy? A. Age B. Currently on warfarin C. Hypothyroidism D. Penicillin allergy E. Previous H. pylori infection

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