Gout Flashcards
1
Q
What will fluid analysis of a joint show if there is gout? And what will be absent? (3,1)
A
Will show:
Needle shaped crystals
Negatively birefringent of polarised light
Monosodium urate crystals
Will not show:
Bacteria (seen in septic arthritis)
2
Q
What are the features of gout on a X ray (4)
A
Joint space maintained
Lytic lesions
Punched out erosions
Sclerotic borders around erosions with overhanging edges
3
Q
Management of gout (3)
A
NSAIDS 1st line
Colchine 2nd line if NSAIDS don’t work or contraindicated
Steroids 3rd line
4
Q
Gout prophylaxis (2)
A
Lifestyle changes
Allopurinol after acute attack of gout has settled
