Gout Flashcards

1
Q

What is Gout

A

Metabolic disease causing increased uric acid crystals (hyperuricemia) to be deposited in the joints

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2
Q

What is primary gout

A

overproduction of uric acid

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3
Q

What is secondary gout

A

hyperuricemia caused by another disease (CDK) or medication (thiazide diuretics, beta blockers

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4
Q

S/S of Gout

A
  • joint pain
  • erythema
  • swelling
  • tophi in the great toe (build up of uric acid)
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5
Q

Lab values determining Gout is present

A
  • increased uric acid levels

- synovial fluid exam that shows urate crystals

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6
Q

Treatment for Gout that is acute

A

Colchicine

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7
Q

Treatment for Gout that is chronic

A
  • allopurinol

- probenecid

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8
Q

Other treatments for Gout

A
  • NSAIDs

- ice packs

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9
Q

What should patients avoid if they have Gout

A

-alcohol
-avoid dieting (starvation)
-purine-rich food
(red or organ meat, shellfish, fructose drinks)

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10
Q

What should you instruct the patient to do if they have Gout

A
  • increase fluid intake

- reduce stress

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