gout Flashcards

1
Q

which crystals in gout

A

monosodium urate

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2
Q

monosodium urate crystals are normally coated in…

A

proteins eg albumin

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3
Q

what causes a gout attack

A

UNCOATED monosodium urate crystals which then become visible to the body

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4
Q

what shape are monosodium urate crystals

A

needle-like

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5
Q

main cytokine in gout

A

IL-1

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6
Q

what do you see here

A

rat-bite erosions. Chronic gout

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7
Q

what are gout bumps called

A

tophi

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8
Q

what colour is synovial fluid in gout

A

white and cloudy

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9
Q

allopurinol moa

A

inhibits xanthine oxidase

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10
Q

rasburicase moa

A

catalyses uric acid to allantoin which is more soluble

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11
Q

what is pseudogout

A

calcium pyrophosphate depositions in joints

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12
Q

what shape crystals in pseudogout

A

rhomboid

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13
Q

what presentation pseudogout

A

most pts asymptomatic

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14
Q

what can you see here in the meniscus

A

chondrocalcinosis (extra white line)

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15
Q

can you see uric acid crystals in H and E

A

no

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16
Q

can you see calcium pyrophosphate crytals in H and E

A

yes

17
Q

compare gout vs pseudogout

A
18
Q

what is this

A

cholesterol plate deposits in a joint