Gout Flashcards
1
Q
S+S of costochondritis
A
CP: postural, worsened with deep breathing + pressureLinked to coughing, injury, strain, infection
2
Q
1st line management of ?costochondritis
A
ECG, CXR, bloodsExclude other differentialsParacetomol + NSAIDsSteroids if needed
3
Q
Presentation of gout - what is it associated with?
A
M:F60% present at metacarpophalangeal jointAssociated with DM, HTN, renal failure + thiazide excessSudden onset agonising pain, pyrexia, linked to overeating/ dehydration/ starting diureticTophi - firm white nodules under skin
4
Q
Investigations for gout
A
Joint fluid microscopy = diagnosticSerum uric acid - 4-6 wks afterJoint x ray
5
Q
Management of gout
A
ColchicineStrong NSAIDs eg diclofenac2nd line: SteroidsAllopurinol for recurrent attacks
