Exam 3/ Lecture 3 Case Study part 2 Flashcards
(7 cards)
1
Q
giant gouty tophi: general information
A
2
Q
What is the is most frequent site for gouty arthritis & tophi?
Untreated gouty arthritis progresses to what?
Tophi usually present after what?
Small tophi may what?
Giant tophi do what?
A
- MTP1 is most frequent site for gouty arthritis & tophi
- Untreated gouty arthritis progresses to tophi
- Tophi usually present after prolonged gouty arthritis (10 yrs.)
- Small tophi may resolve with improved diet, lifestyle, medication
- Giant tophi limit joint mobility, compress nerves, support skin infections, so require surgical removal for treatment
3
Q
Patient history (+years)
A
4
Q
Patient presentation in 2016
A
5
Q
What did x rays indicate?
A
severe osteolysis of MTP1 bones
6
Q
What was the txt?
A
- Pt improved diet & lifestyle
- Responded well to corticosteroid therapy, sulbenicillin & feuxostat to reduce gout flare, infection & SUA, respectively
- See reduction in SUA & creatinine levels with treatment
7
Q
Surgical treatment, outcome, discussion points
A
