Hydrochlorothiazide for hypertension
A 45-year-old white man presents to your office complaining of left knee pain that started last night. He says that the pain started suddenly after dinner and was severe within a span of 3 hours. He denies any trauma, fever, systemic symptoms, or prior similar episodes. He has a history of hypertension for which he takes hydrochlorothiazide (HCTZ). He admits to consuming a great amount of wine last night with dinner. Provide an evaluation of the patient including possible risk factors and treatment options, including non-pharmacologic interventions. Would this patient be a candidate for prophylactic therapy?