Rheumatology: Crystal arthropathies Flashcards
1
Q
What do uric acid crystals look like under the microscope?
A
Needle shaped and show negative bifringence
2
Q
How do you treat acute gout?
A
NSAIDS at max dose until 1 - 2 days after the attack has resolved + PPI (Steroids if kidney disease)
Opiod analgesics
Colchicine
3
Q
Who should get preventative treatment for gout?
A
People with 2 or more attacks in a year
Joint damage
Renal impairment
4
Q
What is the treatment for prevention of gout?
A
Allopurinol
Febuxostat if contraindicated
5
Q
What is pseudo gout?
A
A crystal arthropathy causing an acute arthritis but caused by calcium pyrophosphate crystals
