Gout Flashcards
1
Q
What is it
A
Inflammatory arthritis caused by a build up of uric acid crystals in the joints
2
Q
Features
A
Acute joint pain - often big toe, small joints but also large
Swelling
Redness
Warmth
Tophi formation - (hard uric crystals)
Recurrent flare ups
3
Q
Epidemiology
A
Affects 4% of the adult population
Men 3:1
Places where obesity is high
4
Q
Age
A
40+ men
Post menopausal women (changes is oestrogen levels)
5
Q
Risk
A
Diet - purine rich foods
Obesity
Genetics
Kidney dysfunction
Meds - Diuretics & aspirin
Hypertension
Diabetes
6
Q
Presentation
A
Acute flare -
Severe & sudden pain
Swelling
Warmth
Redness
Very tender
7
Q
Prognosis
A
Good with medications - NSAIDs, corticosteroids, allopurinol
Diet changes
Losing weight
