Gout - Ix

Question 1

3 main investigation of Gout

Answer 1

1. Synovial fluid aspiration
2. Lab tests - FBC / Uric acid levels
3. Imaging - Ultrasound/ X ray

Question 2

Results : Synovial fluid aspiration

Answer 2

1. needle-shaped
2. negatively birefringent
3. monosodium urate crystals
4. raised WBC and neutrophils

Question 3

Results : Lab tests

Answer 3

1. High serum uric acid
2. Raised WCC
3. Raised ESR

Question 4

Results : X ray

Answer 4

Chronic gout - punched out lytic bone lesions

Question 5

Results : ultrasound

Answer 5

‘double contour sign’ representing crystals