Gout Flashcards
1
Q
define gout
A
inflammation of a joint caused by uric acid crystals either by excess production or under excretion
consider diet
2
Q
acute presentation of gout
A
monoarthropathy
abrupt onset
swelling
heat
3
Q
chronic presentation of gout
A
tophi (often diuretic associated)
4
Q
diagnosis of gout
A
- raised inflammatory markers and uric acid level (can be normal during acute attack)
- aspiration of joint fluid (negative birefringent, needle-shaped urate crystals)
- XR
5
Q
management of gout
A
acute= NSAIDS, colchicine and steroids prophylaxis= allopurinol
6
Q
when should start allopurinol in gout?
A
start 2-4 weeks after acute attacks as risks exacerbating gout
7
Q
define pseudo-gout
A
this is inflammation of a joint cause by calcium pyrophosphate/hydroxyapatite crystals
8
Q
diagnosis of pseudo-gut
A
- envelope shaped/rhomboid, mildly positive birefringent Ca pyrophosphate crystals
- XR shows chondrocalcinosis
9
Q
management of pseudogout
A
NSAIDS
colchicine
steroids
rehydration
