Gout Flashcards
1
Q
What is it?
A
- Genetic disorder of purine metabolism, characterized by elevated serum uric acid
2
Q
What happens to the excessive uric acid
A
- changes into crystals and despots into peripheral joints and other tissues (kidneys)
3
Q
Where is gout most often seen
A
- knee
- great toe
- carpals
4
Q
Population
A
- M>F
- 30-40 yo
5
Q
Onset
A
- abrupt onset affecting single joint initially (typically 1st MTP)
- followed by remission 3-5 days but attacks become more frequent leading to severe joint destruction
6
Q
Medications
A
- NSAIDS, COX-2 inhibitors, colchicine, corticosteroids, ACTH, allopurinol, probenecid, sulfinpyrazone
7
Q
PT goals, outcomes, interventions
A
- education for injury prevention and reduction of involved joints
- education on dietary effects of the disease
- early identification of the condition with fast implementation of intervention
8
Q
what is seems on imaging
A
rat bite erosions
