Gout Flashcards
1
Q
What is gout?
A
Inflammatory arthritis related to hyperuricaemia
2
Q
Which joint is most commonly involved in gout?
A
1st metatarsophalangeal joint (podagra)
3
Q
What are the risk factors for gout?
A
> 40 years, male, family history
Increased purine intake, alcohol intake, high fructose intake, obesity, CHF, coronary artery disease
smoking, HTN, diabetes
4
Q
What are the investigations for gout?
A
Joint aspiration - rule out septic arthritis
X-ray - punched out bone erosion
Serum uric acid level
5
Q
What is the management for gout?
A
Acute - NSAIDs (naproxen), prednisolone, colchicine
Long-term - allopurinol/febuxostat
Lifestyle modifications
6
Q
What is pseudogout?
A
Caused by calcium pyrophosphate crystals
