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3b > GP conditions - Rheumatology > Flashcards

GP conditions - Rheumatology Flashcards

1
Q

Rapid-onset severe pain, redness and swellingin the 1st metatarsophalangeal joint

A

Gout

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2
Q

What is offered first line for an acute flare of gout

A
  • NSAIDs (+/1 PPI)
  • Colchicine
  • Short course of an oral corticosteroids

ICE PACKS

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3
Q

What can be given for gout if none of the first line options are suitable ?

A

Intra-articular or IM corticosteroid

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4
Q

What is done in a follow up appointment to a flare of gout ?

A
  • Measure serum urate
  • Assess lifestyle or comorbidities (CVD & CKD risk)
  • Discuss that excess body weight/obesity or excess alcohol may exacerbate gout
  • DIscuss pros and cons of ULT
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5
Q

when are ULT offered ?

A
  • Multiple flares, CKD 3-5, diuretic therapy, tophi, chronic gouty arthritis
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6
Q

what is used to prevent gout

A
  • Allopurinol (always in major CVD) or febuxostat
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7
Q

crystals seen in gout

A

Needle shaped negatively birefringent crystals of monosodium urate

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3b (9 decks)

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