Question: Question linked to image # 8 In relation to the previous case, how would you approach the initial treatment of this patient? 
 Options:  <1> The treatment is the use of allopurinol at a minimum dose of 800 mg daily, so the dose used by the patient should be increased early. <2> During the acute phase, the treatment is NSAIDs, which can be associated with colchicine. <3> Given the severity of the lesions, intravenous colchicine should be used. <4> If synovial fluid has a cell count above 3000 cells / μl, treatment with parenteral antibiotics should be initiated with coverage against Staphylococcus Aureus and Streptococcus spp. And maintained at least 6 weeks. <5> In this disease, systemic or intraarticular steroids have not proven their efficacy.
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