Pain and swelling in his left knee

59/y/o man with pain and swelling in his left knee since 1 week. No H/O trauma to knee, fever or other systemic diseases The patient’s vital signs are normal except for a temperature of 99.5 °F. Physical examination is normal except for mild edema and subtle erythema and warmth around the left knee. An abrasion is identified below the knee but does not appear to be infected. Differential diagnosis include cellulitis, internal derangement of the knee, gout, and septic joint. The patient’s complete blood count and metabolic panel were both normal. Suggest how to diagnose this case?

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Arthritis
Arnica 1m
Nosugar no nonveg diet no eggs no mushrooms no fried foods,methidana, karela jeera powder flaxseed walnuts blue berries sunshine ginger, detox liver beetroot coriander juice pineapple with black pepper sprouts kalijeeri alkaline diet maintain hygiene,cold pressed coconut oil massage and in naval lime juice orange lemon lemongrass decoction carrots citrus fruit cool food muskmelon
रोगी वात व्याधि से ग्रस्त है। चिकित्सा संबंधी योग,,,, बृहत वात चिंतामणि रस स्वर्ण युक्त 1 रत्ती बसंत मालती रस स्वर्ण युक्त 1 रत्ती गोहदन्ती भस्म 4 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। महाविषगर्भ तैल की मालिश करें और फिर उस पर उपनाह बांध दें। महारास्नादि क्वाथ 25 ग्राम सुबह-शाम खाने के बाद दें। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।
ajmodaadi churan 1 tsf bd singnaad gugglu 1gms cap shallaki 600 mg cap rheumo gold 1 BD with maharasnadi kWath. shunthi ksheerpak od in evening baluka swedan oint dazzle superficial for local application for pain relief(no oil application). mridu virechan with haritaki erand bhrisht 5 gms hs with hot water. dietary restrictions
Needs symptomatic treatment counting as gout case. Shothari loh &Punnrevagi guggsl may provide with punnervarisht. Persarinioil+Mahavishgarbh oil for massage. If required as calcium defecincy,than think of laxadi guggsl also.Age factor is also a reasons in my opn.@Dr. Harsh Sharma ji.
Dear Dr. Harsh Sharma Sir, According t my opinion its Kaustruk Shirsha. Tab. Aam Pachan Vati. Tab. Ekang vir ras. Liq. Punarnavadi quatha. Dashang Lepa.
The management should be as per vaatarakta Kokilaksha kashaya Kaishore guggulu 2 bd Mahasudarshana ghana vati Guduchi chatvari prayoga can be done
Trayodasang guguul Tab rumalaya fort Dashmoolaristh Tab Ekang veer rasa Punarnva mandoor Aam pachan vati Basantmalti rasa
Ajmodadi churna Trayodashaag guggulu Tab rumalaya fort Maharasanadi kwath Mahavishgarbh tail Proper diet management
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