anatomical path

Question 1

What is the classic triad for reactive arthritis? (Hint: there’s a mnemonic for it)

Answer 1

Can’t see, can’t pee, can’t climb a tree

• Conjunctivitis.
• Non-gonococcal urethritis.
• Asymmetrical oligoarthritis.
  
  • Oligoarthritis = 2-4 joints affected during the first six months of the disease.

Question 2

Why does gout occur more commonly in the evening?

Answer 2

Lower body temperature ⇒ formation of uric acid crystals.

Question 3

Does gout mean the patient has hyperuricemia?

Answer 3

• No.
• Nearly half of the time gout occurs without hyperuricemia and most people with raised uric acid levels never develop gout.

Question 4

• The most important DDx for gout is….
• How can they be differentiated?

Answer 4

• Septic arthritis.
• This should be considered in those with signs of infection or those who do not improve with treatment.

Question 5

What are the shape of crystals in gout vs pseudogout?

Answer 5

• Gout = needle shaped.
• Pseudogout = rhomboidal.