Gout Flashcards

1
Q

patho of gout

A

Systemic arthritis resulting from deposition of uric acid crystals in tissues and fluids within the body –> Inflammation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

most common form of gout =

A

primary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is primary gout?

A

Results from one of several inborn errors of purine metabolism ( increase uric acid)

  • Production of uric acid > excretion of uric acid
  • May be inherited
  • Peak onset is from 40 -50
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is secondary gout?

A
  • Hyperuricemia from another disease or problem

- Does not discriminate on the basis of age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

3 stages of gout

A
  1. Asymptomatic hyperuricemia
  2. Acute gouty arthritis
  3. Chronic/ tophaceous gout
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

stage of gout when Only obvious from a serum uric acid level

A

Asymptomatic hyperuricemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is happening during seocnd phase of gout -Acute gouty arthritis

A

“Attack”
Excruciating pain and inflammation
Metatarsophalangeal joint of great toe (Podagra)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

when does Chronic/ tophaceous gout occur?

A

Occurs after repeated attacks
Deposits of urate crystals form under the skin and in major organs
Renal-philic
Kidney stones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

assessment for gout

A
History
Joint inflammation
Severe pain
Typically affects smaller joints
Renal stones
Renal insufficiency
Tophi
	Outer ear
	Arms
	Fingers
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

where are tophi occuring?

A

Outer ear
Arms
Fingers
Toes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

2 meds for gouts

A

Colchicine

Allopurinol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

AVOID w/ gout

A
  • aspirin
  • diuretics
  • high purine
  • stress
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

alkaline ash foods for gout

A

Citrus foods. juice

Milk/ dairy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly