Gout Flashcards
1
Q
Systemic arthritis
A
resultng from deposition of uric acid crystals
- easily treated and advanced disease
2
Q
Primary Gout
A
- Most common form
- Results from one of several inboorn errors of purine metabolism
- Production of uric acid > excretion of uric acid
- May be inherited
- Peak onset is from 40-50
3
Q
Secondary Gout
A
Secondary Gout
- Hyperuricemia from another disease or problem
- Does not discriminate on the basis of age
4
Q
Gout stages Asymtomatic hyperuricemia
A
- only obvious from a serum uric acid level
5
Q
Acute gouty arthritis
A
- Attack
- excruciating pain and inflamamtion
- Metatarsalphalangeal joint of great toe (Podagra)
6
Q
Chronic/ tophaceous gout
A
Occurs after repeated attacks
- deposits of urate crystals form under the skin and in major organs
- renal- philic
- kidney stones
7
Q
Gout assessment
A
- History
- Joint inflammation
- Severe pain
- Typically affects smaller joints
- Renal stones
- renal insuffiencey
- Tophi (outer ear, arm, fingers )
8
Q
Interventions for gout
A
- Pharmacology: colchicine and allopurinol
- take after meals
- Encourage fluids
- Low purine diet (No organ meat, shellfish , oily fish with bones)
- avoid aspirin
- avoid diuretics
- avoid stress
- stress managemnt
- alkaline ash foods
- Citrus foods
- Milk/dairy
