A 52-year-old man presents to the emergency department with sudden onset of excruciating pain, redness, and swelling in his right first metatarsophalangeal joint that began overnight. He reports attending a bachelor party the previous evening where he consumed several beers and a large steak dinner. Physical examination reveals a warm, erythematous, and tender joint with limited range of motion. Arthrocentesis is performed, yielding turbid synovial fluid. Which of the following synovial fluid findings is most consistent with the patient’s condition?
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