Gout and Pseudogout Flashcards
gout
high uric deposits in joints
gout causes
age male alcohol smoking red meat diet medications chemotherapy treatment CKD
what medications can cause gout
tuberculosis medications
gout signs
red, hot, swollen, painful joint
pain on moving
affects small joints
gout investigations
joint aspiration
uric acid levels - at least two weeks after attack
x-ray
what can be seen on the x-ray in gout
normal joint space
soft tissue swelling
periarticular erosions
management of gout
better lifestyle
NSAIDs
colchicine
prophylactic:
allopurinol
what contradictions are there in the management of gout
NSAIDs - cant’t be used in ulcers, any form of kidney disease
colchicine - can’t be used in last stage of kidney disease
allopurinol - colchicine/NSAIDs must be given as well
what is seen on the joint aspiration in gout
negative crystal needles
what is a side effect of colchicine
diarrhoea
what can be given if NSAIDs and colchicine are contradicted
steroids
pseudogout
high levels of calcium pyrophosporate in joints
causes of pseudogout
age red meat diet CKD hyperparathyroidism haemachromatosis hypophosphate hypomagnesium previous surgery
signs
red, swollen joint
affects larger joints like the knee
investigations
joint aspiration
