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Review Question - QID 9108

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QID 9108 (Type "9108" in App Search)
A 55-year-old male has severe knee pain and swelling for 2 days. He denies nausea, vomiting, fevers, or chills. On exam, the patient has an erythematous knee with a large effusion. He has pain with attempted range of motion. Radiographs are unremarkable. WBC, CRP, and ESR are within normal limits. The knee was aspirated and the WBC count was 20,000. A specimen from the aspirate is seen in Figure A. What is the next best step in treatment?
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