Crystal Arthropathies Flashcards
How do you treat psuedogout?
NSAIDs
Colchicine
Steroids
Rehydration
Who gets CPPD?
Elderly
When is the best time to measure serum urate in gout?
2 weeks folowing an acute attack
How should you start prophylaxis of gout?
start 2-4 weeks after an attack
Low dose and titrate up
What is another name for pseudogout?
Calcium pyrophosphate dihydrate deposistion disease
CPPD
What shape are the crystals in gout?
Needles
How do you diagnose gout?
Needle aspiration of urate crystals
(not hyperuricemia alone)
What is the usual onset and duration of gout?
Rapid onset
Lasts up to two weeks
What lifestyle modificatios should a patient with gout make?
Restric red meat, organs , beans and shellfish
Reduced alcohol especially red wine
Lose weight and drink plenty of fluids ( avoid fructose)
What perciptates gout?
Acute changes in level of uric acid
What crystals are found in gout?
Monosodium urate crystals
When would you consider prophylaxis for gout?
More than two attacks
Tophi
Erosions on xray
Renal stones
What is the target serum urate in prophylaxis of gout?
less than 0.30mmol/L
What shape are the crystals in psuedogout?
Rhomboid
What medication is used as a prophylaxis of gout?
Allopurinol
Febuxostat
