#8: Gout Flashcards
1
Q
Gout MC etiologies: (3)
A
1- men
2- fam HX
3- increases with age
2
Q
Describe the acronym MUDPILES:
A
Methanol poisoning Uremia (severe renal failure) DKA (etoh ketoacidosis)/Drugs (stavudine, topiramate, metformin) Paraldehyde/phosphate (low) Ischemia/iron/isoniazid Lactic acidosis Ethylene glycol Salicylates/starvation
3
Q
Concern for gout occurs with serum levels of uric acid higher than this:
A
concern for after 6.0 mg/dL
actual 6.8 mg/dL
4
Q
Why is the 1st MTPj the classic joint affected by gout? What is it called in a gouty flare?
A
- Repetitive trauma of walking and it’s cooler temp
- Podagra
5
Q
CCP crystals differ from MSU crystals in these 3 ways on microscopy:
A
1- rhomboidal
2- shorter in length
3- positively birefringent
