GOUT NOTE

Question 1

Indicator of renal disease in birds

Answer 1

Hyperuricemia

Question 2

What is gout?

Answer 2

Abnormal deposition of uric acid in the body

Question 3

Types of gout

Answer 3

Visceral and articular gout

Question 4

Visceral gout

Answer 4

Occur due to rapidly progressing renal failure or as a terminal event in acute decompensation of ckd.
Mostly affect : pericardium peritonium and liver capsule

Question 5

Microscopically urate crystals appear______

Answer 5

Feather crystals : basophilic spherical masses

Question 6

Infectious cause of VG

Answer 6

IB, Avian nephritis virus, cryptosporidiosis

Question 7

Non infectious cause of VG

Answer 7

Dehydration, vit A deficiet, urolithiasis, high Ca diet to non layers

Question 8

Articular gout

Answer 8

Long term increase in serum uric acid level. Birds fed excessive protein.

Chronic granulomatous reaction

Synovial membrane, toes, wing joint

Question 9

TOPHI

Answer 9

Urate crystals

Question 10

Diagnosis of articular gout

Answer 10

Is by identifying gout
tophi-whitish yellow, subcutaneous, and
intra articular deposits that demonstrate uric
acid crystals on staining.

Question 11

Treatment of articular gout

Answer 11

Fluid therapy
Analgesics
Allopurinol 10-30mg/kg/day PO
Colchicine 0.04mg/kg/day PO OD/BID
W3 Fatty acid 0.1-0.22mg/kg/day PO

Question 12

Why surgery not preferred in AG?

Answer 12

Tophis are highly vascularized hence ther will be chance of severe haemorrhage.