Examine knee x ray carefully. Diagnosis:-
The given knee x-ray shows bilateral joint destruction. In osteoahritis and rheumatoid ahritis- joint destruction but some anatomical features and shape of joint will be preserved. Gout usually occurs in 1st metatarsal joint. Charcot's disease (neuropathic ahritis) is a cause of joint destruction because of loss of proprioceptive fibers and pain sensibility. It is commonly seen in diabetic patients
TB
Gout
Charcot's disease
RA
Joint disorders