Gout and arthropathies Flashcards
What do gout crystals look like
negative birefringent (bright yellow
gout uric acid
> 7
Gout ESR and synovial fluid
ESR elevated
increased leukocytes
indomethacin
50 mg PO q8h
Chocicine
0.5 mg initially. 0.5 mg PO q 1 hr until gi or symptom relief
allopurinol
100-600 mg PO qday
Febuxostat
40-80 mg POq day
block uric acid production
probenecid
50 mg PO 1 week, 500 mg PO BID
pseudogout aka and appearance and tx
Calcium pyrophosphate dehydrate crystal deposition disease (CPPD)
+ birefringence
IV colchicine
RA derm presentation
Feltys syn-pigmented spots on LE
Gold standard for RA dx
Tx
Gadolinium contrast
methotrexate,infliximaub, etanercept
Psoriatic labs, tx
HLAB37, never give oral steroid
derm with reiters
keratoderma blennorhagicum