system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
Examine knee x ray carefully. Diagnosis:-
assistant
The correct answer is  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