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Review Question - QID 211372

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QID 211372 (Type "211372" in App Search)
A 72-year-old diabetic female has persistent pain 4-years after a right total hip arthroplasty. She reports her post-operative course was uneventful. She reports progressively worsening pain in the hip over the last 6 months. On exam, her surgical wound is well-healed with no drainage and mild pain with motion. Her current ESR is 32 mm/hr (reference <20 mm/hr) and CRP is 15 mg/L (reference <3.0 mg/L). Aspiration of the right hip yielded 4328 nucleated cells with 86% PMNs with a negative gram stain and culture. Her synovial fluid was positive for alpha-defensin. Current radiographs are shown in figures A and B. What is the most appropriate next step?
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