ARTHROPATHIES-GOUT

Question 1

what are the types of gout (3)?

Answer 1

acute
intercritical
chronic

Question 2

name this type?

attacks that are large in pain when they flare up

Answer 2

acute

Question 3

name this type?

flare ups that are more frequent but magnitude of pain is less

patients get more frequent attacks
6-8 yrs to show up on radiograph
erosive changes

Answer 3

intercritical

Question 4

name this type?

pain is always there just at a lower magnitude

Answer 4

chronic

Question 5

what are the phases of gouty evolution?

Answer 5

asymptomatic hyperuricemia
acute gouty arthritis
inter critical gout
chronic tophaceous gout
renal disease/gouty neuropathy

Question 6

common pedal sites for acute gouty arthritis?

Answer 6

1st MPJ
lisfrancs joint
IP joint of hallux
ankle joint

Question 7

name this phase of gout based on the radiographic features?

marked periarticular inflammatory soft tissue swelling

no crystals, erosions, joint space widening or osteoporosis

Answer 7

acute gouty arthritis

Question 8

name this phase of gout based on the radiographic features?

erosive changes at borderline joint or even outside the joint

periarticular calcification

Answer 8

intercritical gout

Question 9

name this phase of gout based on the radiographic features?

eccentric soft tissue masses, frequently periarticular (tophi)

• underlying bony erosions
• subchondral with cystic appearance but tophi really erode in
• usually seen around tendons

large intra and extra articular erosions > 5mm
-martels sign of overhanging edges

normodensity in subchondral bone

late joint space loss

Answer 9

chronic tophoaceous gout